MS. VICKI E CLARK NP
NPI 1609878800
Nurse Practitioner - Obstetrics & Gynecology in Lumberton, NC

Q: What is Vicki Clark's NPI number?

The NPI number for Vicki Clark is 1609878800. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Vicki Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Vicki Clark was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 01, 2005PECOS Enrolled

460 COUNTRY CLUB RD, LUMBERTON, NC 28360(910) 671-3200(910) 671-3484 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Vicki E Clark Np NPPES

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

MS. VICKI E CLARK NP (NPI 1609878800) is an individual obstetrics & gynecology provider in Lumberton, North Carolina, licensed in North Carolina (940105) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609878800

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMS. VICKI E CLARKCredential: NP

Location Address460 COUNTRY CLUB RDLumberton, NC 28360-9494

Mailing Address460 Country Club RdLumberton, NC 28360-9494 · (910) 671-3200 · Fax (910) 671-3484

Phone(910) 671-3200

Fax(910) 671-3484

Sole ProprietorNo

Enumeration DateJune 1, 2005

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1609878800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in NC · 940105

460 COUNTRY CLUB RD, Lumberton, NC 28360

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Other Identifiers 1

Medicaid1609878800NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Ms. Vicki E Clark Np 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 28360 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 20

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

KRISTIE COLLINS MARTIN PA-C

Physician Assistant