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TOSHALENE CLARK FNP
NPI 1669443503
Nurse Practitioner - Family in Blue Springs, MO

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
1215 NE CORONADO DR, BLUE SPRINGS, MO 64014(816) 622-3342 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Mar 23, 2020 (2 updates tracked since 2020).

About Toshalene Clark Fnp NPPES

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

TOSHALENE CLARK FNP (NPI 1669443503) is an individual family provider in Blue Springs, Missouri, licensed in Missouri (CNP-117726) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669443503
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTOSHALENE CLARKCredential: FNP
Location Address1215 NE CORONADO DRBlue Springs, MO 64014-2928
Mailing Address10723 N Harrison StKansas City, MO 64155-1523 · (816) 520-8473
Phone(816) 622-3342
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1669443503 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
Licenses✔ Licensed in MO · CNP-117726✔ Licensed in KS · 53-79175-042
1215 NE CORONADO DR, Blue Springs, MO 64014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica.Insurance ›

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

Toshalene 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 ID1759358401
PECOS Enrollment IDI20040913001220, I20211214002012
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 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.
40 services40 patients
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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES 2

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

MRS. RUTH ANN MAGGARD FNP-C
Nurse Practitioner (Family)
1215 NE CORONADO DR
BLUE SPRINGS, MO 64014
Jackson County (816) 622-3342
MRS. RACHEL MARIE MARKS APRN, FNP-C
Nurse Practitioner (Family)
1215 NE CORONADO DR
BLUE SPRINGS, MO 64014
Jackson County (913) 345-9400

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 Toshalene Clark's NPI number?

The NPI number for Toshalene Clark is 1669443503. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Toshalene Clark located?

Toshalene Clark practices at 1215 NE Coronado Dr, Blue Springs, MO 64014. The listed phone number is (816) 622-3342.

What is Toshalene Clark's specialty?

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

Is Toshalene Clark enrolled in Medicare?

Yes. Toshalene 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.

What insurance does Toshalene Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Toshalene 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 Toshalene Clark was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.