DR. KRISTIE M CLARK M.D.
NPI 1558473884
Pediatrics in Junction City, KS

Q: What is Kristie Clark's NPI number?

The NPI number for Kristie Clark is 1558473884. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Kristie Clark'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 Kristie Clark was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 31, 2006PECOS Enrolled

715 SOUTHWIND DR, JUNCTION CITY, KS 66441(785) 209-3779(785) 209-3780 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 4, 2026, Jan 9, 2026, Feb 12, 2025 and 3 more (6 updates tracked since 2016).

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About Dr. Kristie M Clark M.d. NPPES

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

DR. KRISTIE M CLARK M.D. (NPI 1558473884) is an individual pediatrics provider in Junction City, Kansas, licensed in Kansas (04-34215) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1558473884

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KRISTIE M CLARKCredential: M.D.

Location Address715 SOUTHWIND DRJunction City, KS 66441-9021

Mailing Address715 Southwind DrJunction City, KS 66441-9021 · (785) 209-3779 · Fax (785) 209-3780

Phone(785) 209-3779

Fax(785) 209-3780

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 1, 20266 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1558473884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in KS · 04-34215✔ Licensed in CO · DR.0076393✔ Licensed in TX · L6831

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.

715 SOUTHWIND DR, Junction City, KS 66441

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Secondary Practice Locations 4

Location 1705 1st Ave Ste ADodge City, KS 67801-4437 · Phone (620) 471-3140 · Fax (620) 471-3141

Location 2842 N Main StLansing, KS 66043-1305 · Phone (913) 250-5155 · Fax (913) 250-5515

Location 36510 S Academy Blvd Ste 110Colorado Springs, CO 80906-8691 · Phone (719) 698-7933 · Fax (719) 698-7929

Location 43905 Vanesta DrManhattan, KS 66503-2001 · Phone (785) 775-1867 · Fax (785) 775-1700

Other Identifiers 1

Medicaid30004570650001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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. Kristie M Clark M.d. 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 66441 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 5

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

VICTORY CLINIC LLC

Clinic/Center (Multi-Specialty)