DR. VIVIENNE M CLARKE MD
NPI 1477791630
Pediatrics in Fellsmere, FL

Q: What is Vivienne Clarke's NPI number?

The NPI number for Vivienne Clarke is 1477791630. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Q: What is Vivienne Clarke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vivienne Clarke was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2009PECOS Enrolled

12196 COUNTY ROAD 512, FELLSMERE, FL 32948(772) 257-8224(772) 213-3157 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Feb 21, 2017 (2 updates tracked since 2017).

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About Dr. Vivienne M Clarke Md NPPES

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

DR. VIVIENNE M CLARKE MD (NPI 1477791630) is an individual pediatrics provider in Fellsmere, Florida, licensed in Florida (ME112465) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477791630

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. VIVIENNE M CLARKECredential: MD

Location Address12196 COUNTY ROAD 512Fellsmere, FL 32948-5463

Mailing Address1545 9th St SwVero Beach, FL 32962-4312 · (772) 257-8224 · Fax (772) 213-3157

Phone(772) 257-8224

Fax(772) 213-3157

Sole ProprietorNo

Enumeration DateJanuary 27, 2009

Last NPPES UpdateMay 28, 20262 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1477791630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME112465✔ Licensed in PA · MT-193978

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12196 COUNTY ROAD 512, Fellsmere, FL 32948

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Secondary Practice Locations 2

Location 16910 Old Wolf Bay RdPalatka, FL 32177-6800 · Phone (386) 328-7337 · Fax (386) 325-3742

Location 21403 Medical Plaza Drive, Suite 104Sanford, FL 32771-1047 · Phone (407) 249-1234 · Fax (407) 249-1755

Other Identifiers 1

OtherME112465FL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vivienne M Clarke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32948 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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