RONDA CLARK FNP
NPI 1457727984
Nurse Practitioner - Family in Mount Juliet, TN

Q: What is Ronda Clark's NPI number?

The NPI number for Ronda Clark is 1457727984. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Ronda Clark's specialty?

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

Q: Is Ronda Clark enrolled in Medicare?

No. Ronda Clark has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ronda Clark was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 19, 2015Opted out of Medicare · through Apr 1, 2028

45 W CALDWELL ST STE A, MOUNT JULIET, TN 37122(615) 622-6080(615) 622-6133 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2021, Feb 14, 2020, Oct 24, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Ronda Clark Fnp NPPES

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

RONDA CLARK FNP (NPI 1457727984) is an individual family provider in Mount Juliet, Tennessee, licensed in Tennessee (25016) and active in the NPI registry since August 2015. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1457727984

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRONDA CLARKCredential: FNP

Location Address45 W CALDWELL ST STE AMount Juliet, TN 37122-2906

Mailing Address45 W Caldwell St Ste AMount Juliet, TN 37122-2906 · (615) 622-6080 · Fax (615) 622-6133

Phone(615) 622-6080

Fax(615) 622-6133

Sole ProprietorNo

Enumeration DateAugust 19, 2015

Last NPPES UpdateNovember 26, 20215 updates tracked since enumeration

NPPES CertifiedNovember 26, 2021

✔ NPI 1457727984 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 TN · 25016

45 W CALDWELL ST STE A, Mount Juliet, TN 37122

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ronda Clark Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 Ronda Clark's NPI number?

The NPI number for Ronda Clark is 1457727984. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Ronda Clark located?

Ronda Clark practices at 45 W Caldwell St Ste A, Mount Juliet, TN 37122. The listed phone number is (615) 622-6080.

What is Ronda Clark's specialty?

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

Is Ronda Clark enrolled in Medicare?

No. Ronda Clark has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ronda Clark accept?

Health plans from Oscar Insurance Company list Ronda 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 Ronda Clark was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.