KELSIE CLARK FNP
NPI 1669153987
Nurse Practitioner - Family in Rancho Mirage, CA

Q: What is Kelsie Clark's NPI number?

The NPI number for Kelsie Clark is 1669153987. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Q: What is Kelsie 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 Kelsie Clark was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 28, 2023PECOS EnrolledAccepts Medicare Assignment

39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 340-3911(760) 773-1448 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelsie Clark Fnp NPPES

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

KELSIE CLARK FNP (NPI 1669153987) is an individual family provider in Rancho Mirage, California, licensed in California (95025383) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669153987

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELSIE CLARKCredential: FNP

Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221

Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 340-3911 · Fax (760) 773-1448

Phone(760) 340-3911

Fax(760) 773-1448

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 28, 2023

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1669153987 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 CA · 95025383

39000 BOB HOPE DR, Rancho Mirage, CA 92270

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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 and accepts Medicare assignment

Kelsie Clark Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476079690

PECOS Enrollment IDI20250430001021

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 92270 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

MS. NORMA ZAPATA LCSW

Social Worker (Clinical)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ADELE ALEXANDRA FIELDS MD

Radiology (Diagnostic Radiology)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 773-1574

DR. PETER JAMES SOFIA M.D.

Anesthesiology

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ANDREA VIRGINIA CORPORA PA-C

Thoracic Surgery (Cardiothoracic Vascular Surgery)

39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270

Riverside County (760) 568-4330

SEVWANDI DE SILVA M.D.

Internal Medicine (Pulmonary Disease)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 834-3564

ERVIN XHUFKA NP

Nurse Practitioner (Family)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 837-8542

LOGAN BUCKNER PT, DPT

Physical Therapist

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

MOLLY E MCKEOWN PA-C

Physician Assistant

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

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 Kelsie Clark's NPI number?

The NPI number for Kelsie Clark is 1669153987. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Kelsie Clark located?

Kelsie Clark practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-3911.

What is Kelsie Clark's specialty?

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

Is Kelsie Clark enrolled in Medicare?

Yes. Kelsie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelsie Clark was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.