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AMBREA L CLARK FNP
NPI 1649110065
Nurse Practitioner - Family in Dallas, TX

Active since March 30, 2026PECOS Enrolled
333 N WASHINGTON AVE, DALLAS, TX 75246(972) 576-9100 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ambrea L Clark Fnp NPPES

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

AMBREA L CLARK FNP (NPI 1649110065) is an individual family provider in Dallas, Texas, licensed in Texas (1230495) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649110065
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBREA L CLARKCredential: FNP
Location Address333 N WASHINGTON AVEDallas, TX 75246-1754
Mailing Address333 N Washington AveDallas, TX 75246-1754
Phone(972) 576-9100
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 29, 2026
✔ NPI 1649110065 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 · 1230495
333 N WASHINGTON AVE, Dallas, TX 75246
Open in Google Maps ↗

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)

Ambrea L Clark Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284105859
PECOS Enrollment IDI20260604001254
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 Ambrea Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stella Mattina Health Inc
3.7 mi
Obstetrics & Gynecology
1135 N BISHOP AVE
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1487301230 (214) 942-3100

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 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 6

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

CRYSTAL ADIELE
Student in an Organized Health Care Education/Training Program
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (469) 600-8178
ALEXIS HILLARD STUDENT
Student in an Organized Health Care Education/Training Program
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (972) 576-9100
ELLIANNA GARCIA DNP, APRN, FNP-C
Nurse Practitioner (Family)
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (972) 576-9100
DR. CHARLI HATHCOCK DNP, FNP-BC
Nurse Practitioner (Family)
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (972) 576-9100
MS. ANUM ZINDANI APRN, FNP-C
Nurse Practitioner (Family)
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (972) 576-9100
CARLY CARRASCO
Student in an Organized Health Care Education/Training Program
333 N WASHINGTON AVE
DALLAS, TX 75246
Dallas County (972) 576-9100

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 Ambrea Clark's NPI number?

The NPI number for Ambrea Clark is 1649110065. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Ambrea Clark located?

Ambrea Clark practices at 333 N Washington Ave, Dallas, TX 75246. The listed phone number is (972) 576-9100.

What is Ambrea Clark's specialty?

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

Is Ambrea Clark enrolled in Medicare?

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

Which organization bills Medicare for Ambrea Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambrea Clark reassigns Medicare benefits to Stella Mattina Health Inc (Dallas, TX). 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 Ambrea Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ambrea Clark accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ambrea 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 Ambrea Clark was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.