MEREDITH KELLY CLARK MSN, APRN, FNP-BC
NPI 1629793229
Nurse Practitioner - Family in Columbus, OH

Q: What is Meredith Clark's NPI number?

The NPI number for Meredith Clark is 1629793229. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Meredith 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 Meredith Clark was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2022PECOS Enrolled

4200 REGENT ST STE 200, COLUMBUS, OH 43219(877) 870-1775 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, May 15, 2024, Jan 4, 2024 and 2 more (5 updates tracked since 2022).

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About Meredith Kelly Clark Msn, Aprn, Fnp-bc NPPES

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

MEREDITH KELLY CLARK MSN, APRN, FNP-BC (NPI 1629793229) is an individual family provider in Columbus, Ohio, licensed in Missouri (2022039584) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629793229

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEREDITH KELLY CLARKCredential: MSN, APRN, FNP-BC

Location Address4200 REGENT ST STE 200Columbus, OH 43219-6229

Mailing Address4200 Regent St Ste 200Columbus, OH 43219-6229 · (877) 870-1775 · Fax (614) 968-8840

Phone(877) 870-1775

Sole ProprietorNo

Enumeration DateOctober 5, 2022

Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1629793229 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 MO · 2022039584

4200 REGENT ST STE 200, Columbus, OH 43219

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Secondary Practice Locations 2

Location 12820 E Rock Haven Rd Ste 100Harrisonville, MO 64701-4413 · Phone (816) 380-3582 · Fax (816) 380-6964

Location 21408 SW Cornwall RdRaymore, MO 64083-3801 · Phone (913) 221-4250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Kelly Clark Msn, Aprn, Fnp-bc 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services104 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

70 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43219 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

JENNIFER NICKENS FNP-C

Nurse Practitioner (Family)