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

Q: 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.

Q: What is Ambrea 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 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 4 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 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: August 02, 2026.

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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

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Medicare Participation & PECOS CMS

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

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.

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.

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Other Providers at the Same Location NPPES 7

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

ALEXIS HILLARD STUDENT

Student in an Organized Health Care Education/Training Program