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KYLIE CLARK PA-C
NPI 1487421418
Physician Assistant - Medical in Philadelphia, PA

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment
1500 SPRING GARDEN ST STE R105, PHILADELPHIA, PA 19130(484) 844-2388 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kylie Clark Pa-c NPPES

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

KYLIE CLARK PA-C (NPI 1487421418) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA065010) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2023).

NPPES Registry Identity

NPI1487421418
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKYLIE CLARKCredential: PA-C
Location Address1500 SPRING GARDEN ST STE R105Philadelphia, PA 19130-4067
Mailing Address1500 Spring Garden St Ste R105Philadelphia, PA 19130-4067 · (484) 844-2388
Phone(484) 844-2388
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2023
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 9, 2023
✔ NPI 1487421418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065010
1500 SPRING GARDEN ST STE R105, Philadelphia, PA 19130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kylie Clark Pa-c 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.

PECOS PAC ID5799137816
PECOS Enrollment IDI20240113000817
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Other Providers at the Same Location NPPES 2

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

ON DEMAND URGENT CARE GROUP PC
Clinic/Center (Urgent Care)
1500 SPRING GARDEN ST STE R105
PHILADELPHIA, PA 19130
Philadelphia County (267) 768-8288
ISLA MARTINEZ IGLESIAS PA-C
Physician Assistant
1500 SPRING GARDEN ST STE R105
PHILADELPHIA, PA 19130
Philadelphia County (610) 551-6904

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 Kylie Clark's NPI number?

The NPI number for Kylie Clark is 1487421418. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Kylie Clark located?

Kylie Clark practices at 1500 Spring Garden St Ste R105, Philadelphia, PA 19130. The listed phone number is (484) 844-2388.

What is Kylie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kylie Clark enrolled in Medicare?

Yes. Kylie 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.

What insurance does Kylie Clark accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Kylie 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 Kylie Clark was last updated on December 11, 2023. 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.