KINDRA CLARK FNP-C
NPI 1558765727
Nurse Practitioner - Family in San Antonio, TX

Q: What is Kindra Clark's NPI number?

The NPI number for Kindra Clark is 1558765727. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Q: What is Kindra Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kindra Clark was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 17, 2014PECOS Enrolled

5414 FREDERICKSBURG RD STE 100A, SAN ANTONIO, TX 78229(210) 468-0800(210) 733-8649 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2022, Nov 6, 2017 (2 updates tracked since 2017).

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About Kindra Clark Fnp-c NPPES

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

KINDRA CLARK FNP-C (NPI 1558765727) is an individual family provider in San Antonio, Texas, licensed in Texas (AP126695) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1558765727

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKINDRA CLARKCredential: FNP-C

Location Address5414 FREDERICKSBURG RD STE 100ASan Antonio, TX 78229-3641

Mailing Address500 Kirts Blvd Ste 100Troy, MI 48084-4135 · (248) 824-6623 · Fax (855) 618-6655

Phone(210) 468-0800

Fax(210) 733-8649

Sole ProprietorYes

Enumeration DateOctober 17, 2014

Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1558765727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP126695

5414 FREDERICKSBURG RD STE 100A, San Antonio, TX 78229

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Secondary Practice Location 1

Location 1124 Dallas StSan Antonio, TX 78205-1202 · Phone (210) 224-1771 · Fax (210) 229-9138

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kindra Clark Fnp-c 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 Reassignments

Medicare enrollment records show Kindra Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC

Same address

Family Medicine

5414 FREDERICKSBURG RD STE 100A
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
802 clinicians in this Medicare group

NPI 1174561575 (210) 468-0800

Diabetes And Glandular Disease Clinic PA

1.5 mi

Endocrinology, Diabetes & Metabolism

5107 MEDICAL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
26 clinicians in this Medicare group

NPI 1427166305 (210) 614-8612

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 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 10

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

DANIELLE MARIE FLORES APRN

Nurse Practitioner (Gerontology)