Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KALI AMARA CLARK FNC-C
NPI 1346974870
Nurse Practitioner - Family in Tampa, FL

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
3000 BAYPORT DR STE 880, TAMPA, FL 33607(614) 806-3719(813) 435-2321 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Sep 25, 2026, Aug 1, 2026 and 6 more (9 updates tracked since 2022).

About Kali Amara Clark Fnc-c NPPES

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

KALI AMARA CLARK FNC-C (NPI 1346974870) is an individual family provider in Tampa, Florida, licensed in Ohio (F07220685) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346974870
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALI AMARA CLARKCredential: FNC-C
Location Address3000 BAYPORT DR STE 880Tampa, FL 33607-8409
Mailing Address497 Willowbrook RdLewis Center, OH 43035-3704 · (614) 806-3719 · Fax (813) 435-2321
Fax(813) 435-2321
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
Last NPPES UpdateSeptember 29, 20269 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1346974870 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
Licenses✔ Licensed in OH · F07220685✔ Licensed in DE · LG-0013257✔ Licensed in KY · 4050677✔ Licensed in NH · 114393-23✔ Licensed in KS · 53-84674-121✔ Licensed in MA · RN10019496✔ Licensed in DC · NP500025336✔ Licensed in RI · APRN04605✔ Licensed in FL · APRN11021215✔ Licensed in MD · AC007852✔ Licensed in NY · 356609✔ Licensed in VT · 101.0137829✔ Licensed in ME · CNP251548
3000 BAYPORT DR STE 880, Tampa, FL 33607

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kali Amara Clark Fnc-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870013303
PECOS Enrollment IDI20250512001989
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kali Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
320 40TH ST NE
Washington, DC 20019
  • Reassigned Medicare billing, District of Columbia enrollment
  • 83 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 168 clinicians in this Medicare group
Family
375 WHITE PLAINS RD
Eastchester, NY 10709
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Medical Group Of New York PC
  • 185 clinicians in this Medicare group
Family
11729 ROE AVE
Leawood, KS 66211
  • Reassigned Medicare billing, Kansas enrollment
  • 107 clinicians in this Medicare group
Family
4 HALL ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • Medicare enrollment name: Minuteclinic Diagnostic Of New Hampshire LLC
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3000 BAYPORT DR STE 880
TAMPA, FL 33607
Physician Assistant
3000 BAYPORT DR STE 880
TAMPA, FL 33607
Nurse Practitioner (Family)
3000 BAYPORT DR STE 880
TAMPA, FL 33607
Family Medicine
3000 BAYPORT DR STE 880
TAMPA, FL 33607
Physician Assistant (Medical)
3000 BAYPORT DR STE 880
TAMPA, FL 33607

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 Kali Clark's NPI number?

The NPI number for Kali Clark is 1346974870. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Kali Clark located?

Kali Clark practices at 3000 Bayport Dr Ste 880, Tampa, FL 33607. The listed phone number is (614) 806-3719.

What is Kali Clark's specialty?

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

Is Kali Clark enrolled in Medicare?

Yes. Kali Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kali Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kali Clark reassigns Medicare benefits to 5 organizations: Mc Medical Group Of Dc, PC (Washington, DC), Minuteclinic LLC (Rockville, MD), Medical Group Of New York, P.C. (Eastchester, NY), Minuteclinic Diagnostic Of Kansas PA (Leawood, KS) and Minuteclinic Diagnostic Of New Hampshire, L.L.C. (Concord, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kali Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kali Clark accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Kali Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kali Clark was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.