KAREN L CLARK ACNP
NPI 1669926168
Nurse Practitioner - Acute Care in Charlottesville, VA

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
415 RAY C HUNT DR STE 3100, CHARLOTTESVILLE, VA 22903(434) 243-3633(434) 243-1539 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Oct 12, 2020, Aug 12, 2016 (3 updates tracked since 2016).

About Karen L Clark Acnp NPPES

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

KAREN L CLARK ACNP (NPI 1669926168) is an individual acute care provider in Charlottesville, Virginia, licensed in Virginia (0024173828) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669926168
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAREN L CLARKCredential: ACNP
Location Address415 RAY C HUNT DR STE 3100Charlottesville, VA 22903-2980
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 243-1539
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1669926168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in VA · 0024173828
415 RAY C HUNT DR STE 3100, Charlottesville, VA 22903

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

Karen L Clark Acnp 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 ID9335436385
PECOS Enrollment IDI20160920000927
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 3

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.
47 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 10

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

Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Physical Medicine & Rehabilitation
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903

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 Karen Clark's NPI number?

The NPI number for Karen Clark is 1669926168. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Karen Clark located?

Karen Clark practices at 415 Ray C Hunt Dr Ste 3100, Charlottesville, VA 22903. The listed phone number is (434) 243-3633.

What is Karen Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karen Clark enrolled in Medicare?

Yes. Karen 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.

Is Karen Clark affiliated with any hospitals?

According to CMS data, Karen Clark is affiliated with Sentara Rmh Medical Center and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Clark was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.