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

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: October 18, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

County Of Robeson Office Of Treasurer
Same address
Public Health, State or Local
460 COUNTRY CLUB RD
Lumberton, NC 28360
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1932287182 (910) 671-3200

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 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.

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
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3200
MRS. AMANDA L.. CUMMINGS LCSW
Social Worker (Clinical)
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3453
JOSEPHINE EMUNAH MS, RD
Dietitian, Registered
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3270
DR. ROBERT RHEA EARNEST M.D.
Pediatrics (Adolescent Medicine)
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 608-2100
KAREN LYNN WARWICK FNP-BC
Nurse Practitioner (Family)
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3200
AUDRIANNA STAFFORD WHNP
Nurse Practitioner (Women's Health)
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3200
MRS. WHITNEY ADAMS FNP-C
Nurse Practitioner
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3200
COUNTY OF ROBESON OFFICE OF TREASURER
Community/Behavioral Health
460 COUNTRY CLUB RD
LUMBERTON, NC 28360
Robeson County (910) 671-3200

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 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.

Where is Vicki Clark located?

Vicki Clark practices at 460 Country Club Rd, Lumberton, NC 28360. The listed phone number is (910) 671-3200.

What is Vicki Clark's specialty?

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

Is Vicki Clark enrolled in Medicare?

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

Which organization bills Medicare for Vicki Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Clark reassigns Medicare benefits to County Of Robeson Office Of Treasurer (Lumberton, NC). 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 Vicki Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicki Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Vicki 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 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 21 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.