CHANNEL TRENISE CLARK PMHNP-BC
NPI 1477374874
Nurse Practitioner - Psychiatric/Mental Health in Lees Summit, MO
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
Specialties & Licenses 2
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
Channel Trenise Clark Pmhnp-bc 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
5Medicare enrollment records show Channel Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64139
- Reassigned Medicare billing, Missouri enrollment
- 364 clinicians in this Medicare group
Colwich, KS 67030
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Cs Pacs 3 Midwest LLC
- Also billed through NPI 1972368785 (Missouri)
- 90 clinicians in this Medicare group
Colwich, KS 67030
- Reassigned Medicare billing, Kansas enrollment
- 98 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 64 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 94 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.
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, MOPhysician 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Channel Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Channel Clark reassigns Medicare benefits to 5 organizations: Truman Medical Center Incorporated (Kansas City, MO), Kansas Post Acute Medical Services 1 PA (Colwich, KS), Kansas Post Acute Medical Services 1 PA (Colwich, KS), Ipc Pac Healthcare Services Of Missouri Inc (Sikeston, MO) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Channel Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Channel Clark accept?
Health plans from Blue Cross and Blue Shield of Kansas City and Medica 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 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.
# Channel Trenise Clark, PMHNP-BC · NPI 1477374874
Psychiatric/Mental Health physician in Lees Summit, Missouri. Individual provider, active in the CMS NPPES registry since October 18, 2024.
## Identity
- **NPI:** 1477374874 (Entity type: Individual)
- **Enumerated:** October 18, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2024039915 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 237 NW KESSLER DR APT 307, Lees Summit, MO 64081-4173
- **Phone:** (816) 289-1223
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Truman Medical Center Incorporated (NPI 1396913802, Kansas City, MO); Kansas Post Acute Medical Services 1 PA (NPI 1124557020, Colwich, KS); Kansas Post Acute Medical Services 1 PA (NPI 1124557020, Colwich, KS); Ipc Pac Healthcare Services Of Missouri Inc (NPI 1326497587, Sikeston, MO); Nv Pacs 2 LLC (NPI 1427534809, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477374874) · Data from the CMS NPPES public registry.