KRYSTA ANN CLARK NP
NPI 1366094914
Nurse Practitioner - Gerontology in Winter Haven, FL
About Krysta Ann Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTA ANN CLARK NP (NPI 1366094914) is an individual gerontology provider in Winter Haven, Florida, licensed in Florida (APRN11018536) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and maintains a secondary practice location in Lakeland.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Krysta Ann Clark Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Krysta Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clearwater, FL 33759
- Reassigned Medicare billing, Florida enrollment
- 2,009 clinicians in this Medicare group
Sayre, PA 18840
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Winter Haven Hospital
Acute Care Hospitals · Winter Haven, FLSt Josephs Hospital
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Krysta Clark's NPI number?
The NPI number for Krysta Clark is 1366094914. It was assigned to this individual provider in the NPPES registry on July 14, 2019.
Where is Krysta Clark located?
Krysta Clark practices at 400 Avenue F SE Fl 1, Winter Haven, FL 33880. The listed phone number is (727) 315-6775.
What is Krysta Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Krysta Clark enrolled in Medicare?
Yes. Krysta 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 Krysta Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krysta Clark reassigns Medicare benefits to 2 organizations: Baycare Medical Group, Inc. (Clearwater, FL) and Guthrie Medical Group, P.C. (Sayre, PA). 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 Krysta Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krysta Clark accept?
Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Krysta 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.
Is Krysta Clark affiliated with any hospitals?
According to CMS data, Krysta Clark is affiliated with Winter Haven Hospital and St Josephs Hospital.
When was this NPI record last updated?
The NPPES record for Krysta Clark was last updated on July 8, 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.
# Krysta Ann Clark, NP · NPI 1366094914
Gerontology physician in Winter Haven, Florida. Individual provider, active in the CMS NPPES registry since July 14, 2019.
## Identity
- **NPI:** 1366094914 (Entity type: Individual)
- **Enumerated:** July 14, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN11018536 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 AVENUE F SE FL 1, Winter Haven, FL 33880-3751
- **Phone:** (727) 315-6775
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baycare Medical Group, Inc. (NPI 1043269871, Clearwater, FL); Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 8, 2024
- **Other identifiers:** Medicaid 117903900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1366094914) · Data from the CMS NPPES public registry.