KRYSTA ANN CLARK NP
NPI 1366094914
Nurse Practitioner - Gerontology in Winter Haven, FL

Q: 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.

Q: What is Krysta Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: 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.

Active since July 14, 2019PECOS EnrolledAccepts Medicare Assignment

400 AVENUE F SE FL 1, WINTER HAVEN, FL 33880(727) 315-6775 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Feb 9, 2024, Aug 10, 2023 and 2 more (5 updates tracked since 2019).

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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

NPI1366094914

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKRYSTA ANN CLARKCredential: NP

Location Address400 AVENUE F SE FL 1Winter Haven, FL 33880-3751

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-7469

Phone(727) 315-6775

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 14, 2019

Last NPPES UpdateJuly 8, 20245 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1366094914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11018536

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 544669 (NY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11018536 (FL)

400 AVENUE F SE FL 1, Winter Haven, FL 33880

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Secondary Practice Location 1

Location 1619 Midflorida DrLakeland, FL 33813-4916 · Phone (863) 701-7188 · Fax (863) 701-2014

Other Identifiers 1

Medicaid117903900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1557795580

PECOS Enrollment IDI20230426002673

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

86 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

67 services61 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100052

Location200 Ave F NEWinter Haven, FL 33881 · Polk County

Emergency services Birthing friendly

Physician 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.

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.

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.

What insurance does Krysta Clark accept?

Health plans from AvMed 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.

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.