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CHANNEL TRENISE CLARK PMHNP-BC
NPI 1477374874
Nurse Practitioner - Psychiatric/Mental Health in Lees Summit, MO

Active since October 18, 2024PECOS Enrolled
237 NW KESSLER DR APT 307, LEES SUMMIT, MO 64081(816) 289-1223 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Channel Trenise Clark Pmhnp-bc NPPES

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

CHANNEL TRENISE CLARK PMHNP-BC (NPI 1477374874) is an individual psychiatric/mental health provider in Lees Summit, Missouri, licensed in Missouri (2024039915) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with University Health Lakewood Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477374874
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHANNEL TRENISE CLARKCredential: PMHNP-BC
Location Address237 NW KESSLER DR APT 307Lees Summit, MO 64081-4173
Mailing Address237 Nw Kessler Dr Apt 307Lees Summit, MO 64081-4173 · (816) 289-1223
Phone(816) 289-1223
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1477374874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2024039915
Also ListedRegistered NurseTaxonomy 163W00000X · License 2004022119 (MO)
237 NW KESSLER DR APT 307, Lees Summit, MO 64081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Channel Trenise Clark Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092235184
PECOS Enrollment IDI20250219002427, I20250401000642
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.

Hospital Affiliations CMS Care Compare

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

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64081 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 Channel Clark's NPI number?

The NPI number for Channel Clark is 1477374874. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Channel Clark located?

Channel Clark practices at 237 NW Kessler Dr Apt 307, Lees Summit, MO 64081. The listed phone number is (816) 289-1223.

What is Channel Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Channel Clark enrolled in Medicare?

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

What insurance does Channel Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Channel 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 Channel Clark affiliated with any hospitals?

According to CMS data, Channel Clark is affiliated with University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Channel Clark was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.