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MCKENZIE CLARK
NPI 1528566932
Nurse Practitioner - Pediatrics in Houston, TX

Active since January 31, 2018PECOS Enrolled
6510 HILLCROFT AVE STE 200, HOUSTON, TX 77081(713) 988-6677 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mckenzie Clark NPPES

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

MCKENZIE CLARK (NPI 1528566932) is an individual pediatrics provider in Houston, Texas, licensed in Texas (1222573) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528566932
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMCKENZIE CLARK
Location Address6510 HILLCROFT AVE STE 200Houston, TX 77081-4771
Mailing Address6510 Hillcroft Ave Ste 200Houston, TX 77081-4771 · (713) 988-6677
Phone(713) 988-6677
Sole ProprietorNo
Enumeration DateJanuary 31, 2018
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1528566932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1222573
6510 HILLCROFT AVE STE 200, Houston, TX 77081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Clark 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.

Medicare Billing Reassignment

Medicare enrollment records show Mckenzie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fetter Health Care Network, Inc
903 mi
Federally Qualified Health Center (FQHC)
302 MEDICAL PARK DR, SUITE 111
Walterboro, SC 29488
NPI 1962737601 (843) 549-6853

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 77081 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

ANA LICONA APRN, FNP-C
Nurse Practitioner (Family)
6510 HILLCROFT AVE STE 200
HOUSTON, TX 77081
Harris County (713) 988-6677

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 Mckenzie Clark's NPI number?

The NPI number for Mckenzie Clark is 1528566932. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Mckenzie Clark located?

Mckenzie Clark practices at 6510 Hillcroft Ave Ste 200, Houston, TX 77081. The listed phone number is (713) 988-6677.

What is Mckenzie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mckenzie Clark enrolled in Medicare?

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

Which organization bills Medicare for Mckenzie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Clark reassigns Medicare benefits to Fetter Health Care Network, Inc (Walterboro, SC). The 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 Mckenzie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckenzie Clark accept?

Health plans from First Choice Next and Molina Healthcare list Mckenzie 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 Mckenzie Clark was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.