1. Home
  2. Directory
  3. Florida
  4. Cocoa
  5. Family Medicine
  6. NPI Profile

DR. DESRA KAY CLARK D.O.
NPI 1477816601
Family Medicine - Adult Medicine in Cocoa, FL

Active since June 22, 2012PECOS Enrolled
7227 N US HIGHWAY 1, COCOA, FL 32927(321) 877-2740(321) 877-2793 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017, Oct 13, 2016 (3 updates tracked since 2016).

About Dr. Desra Kay Clark D.o. NPPES

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

DR. DESRA KAY CLARK D.O. (NPI 1477816601) is an individual adult medicine provider in Cocoa, Florida, licensed in Florida (OS12364) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477816601
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. DESRA KAY CLARKCredential: D.O.
Location Address7227 N US HIGHWAY 1Cocoa, FL 32927-5020
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 877-2740
Fax(321) 877-2793
Sole ProprietorNo
Enumeration DateJune 22, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1477816601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · OS12364
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

7227 N US HIGHWAY 1, Cocoa, FL 32927
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Desra Kay Kiely

Other Identifiers 1

Medicaid019789000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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)

Dr. Desra Kay Clark D.o. 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 32927 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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE TUITE MULLER
Nurse Practitioner (Family)
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 241-6800
EDUARDO DIAZ PSYD
Psychologist
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 241-6800
BRITTANY BIBA LCSW
Social Worker (Clinical)
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 241-6800
DR. ZOILA ISABEL BAEZ D.M.D.
Dentist (General Practice)
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 241-6800
RONALD V TROUT MD
Family Medicine
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 241-6800
BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC, INC
Physical Medicine & Rehabilitation (Pain Medicine)
7227 N US HIGHWAY 1
PORT ST JOHN, FL 32927
Brevard County (321) 723-7716
DR. RABIE YOUSSEF DMD
Dentist (General Practice)
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 877-2740
DR. JENNIFER ALONGI DDS
Dentist (General Practice)
7227 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 877-2740

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 Desra Clark's NPI number?

The NPI number for Desra Clark is 1477816601. It was assigned to this individual provider in the NPPES registry on June 22, 2012. The provider is also known as Ms. Desra Kay Kiely.

Where is Desra Clark located?

Desra Clark practices at 7227 N Us Highway 1, Cocoa, FL 32927. The listed phone number is (321) 877-2740.

What is Desra Clark's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Desra Clark enrolled in Medicare?

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

What insurance does Desra Clark accept?

Health plans from Wellpoint list Desra 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 Desra Clark was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.