KATELYNN CLARK DNP-FNP
NPI 1346087764
Nurse Practitioner - Family in Maxton, NC

Q: What is Katelynn Clark's NPI number?

The NPI number for Katelynn Clark is 1346087764. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Q: What is Katelynn Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katelynn Clark was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2024PECOS Enrolled

114 CABINET SHOP RD, MAXTON, NC 28364(910) 785-5351 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katelynn Clark Dnp-fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNN CLARK DNP-FNP (NPI 1346087764) is an individual family provider in Maxton, North Carolina, licensed in North Carolina (F07240676) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346087764

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATELYNN CLARKCredential: DNP-FNP

Location Address114 CABINET SHOP RDMaxton, NC 28364-8963

Mailing Address114 Cabinet Shop RdMaxton, NC 28364-8963 · (910) 785-5351

Phone(910) 785-5351

Sole ProprietorNo

Enumeration DateJuly 12, 2024

NPPES CertifiedJuly 11, 2024

✔ NPI 1346087764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · F07240676

114 CABINET SHOP RD, Maxton, NC 28364

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelynn Clark Dnp-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelynn Clark's NPI number?

The NPI number for Katelynn Clark is 1346087764. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Katelynn Clark located?

Katelynn Clark practices at 114 Cabinet Shop Rd, Maxton, NC 28364. The listed phone number is (910) 785-5351.

What is Katelynn Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katelynn Clark enrolled in Medicare?

Yes. Katelynn Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelynn Clark was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.