MRS. KIMBERLY ANN CLARK RN MSN FNP-C
NPI 1508405028
Nurse Practitioner - Family in Wheeler, TX
About Mrs. Kimberly Ann Clark Rn Msn Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY ANN CLARK RN MSN FNP-C (NPI 1508405028) is an individual family provider in Wheeler, Texas, licensed in Texas (1014028) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wheeler, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mrs. Kimberly Ann Clark Rn Msn Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wheeler, TX 79096
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHEELER, TX 79096
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 Kimberly Clark's NPI number?
The NPI number for Kimberly Clark is 1508405028. It was assigned to this individual provider in the NPPES registry on December 31, 2019.
Where is Kimberly Clark located?
Kimberly Clark practices at 307 East 9th Street, Wheeler, TX 79096. The listed phone number is (580) 558-8543.
What is Kimberly Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Clark enrolled in Medicare?
Yes. Kimberly 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 Kimberly Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Clark reassigns Medicare benefits to 2 organizations: North Wheeler County Hospital District (Wheeler, TX) and Williams Medical Group Practice, LLC (Lawton, OK). 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 Kimberly Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Clark accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kimberly 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 Kimberly Clark was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kimberly Ann Clark, RN MSN FNP-C · NPI 1508405028
Family physician in Wheeler, Texas. Individual provider, active in the CMS NPPES registry since December 31, 2019.
## Identity
- **NPI:** 1508405028 (Entity type: Individual)
- **Enumerated:** December 31, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1014028 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 EAST 9TH STREET, Wheeler, TX 79096-1030
- **Phone:** (580) 558-8543 · **Fax:** (630) 570-6352
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): North Wheeler County Hospital District (NPI 1326445693, Wheeler, TX); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508405028) · Data from the CMS NPPES public registry.