DR. NICOLE ALEXIS CLARKE B.SC, MBBS, MD
NPI 1679197842
Internal Medicine - Nephrology in Miami, FL

Active since June 03, 2020PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Apr 16, 2024, Jun 3, 2020 (3 updates tracked since 2020).

About Dr. Nicole Alexis Clarke B.sc, Mbbs, Md NPPES

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

DR. NICOLE ALEXIS CLARKE B.SC, MBBS, MD (NPI 1679197842) is an individual nephrology provider in Miami, Florida, licensed in Louisiana (347983) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679197842
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NICOLE ALEXIS CLARKECredential: B.SC, MBBS, MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1514 Jefferson HwyJefferson, LA 70121-2429 · (504) 842-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 3, 2020
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1679197842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in LA · 347983 Licensed in FL · ME157873
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Locations 2

Location 11514 Jefferson HwyJefferson, LA 70121-2429 · Phone (504) 842-3000
Location 27031 SW 62nd AveSouth Miami, FL 33143-4701 · Phone (305) 284-7761

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

Dr. Nicole Alexis Clarke B.sc, Mbbs, Md 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 ID4880182732
PECOS Enrollment IDI20251022002830
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.

Hospital Affiliations CMS Care Compare 3

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Nicole Clarke's NPI number?

The NPI number for Nicole Clarke is 1679197842. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Nicole Clarke located?

Nicole Clarke practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Nicole Clarke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nicole Clarke enrolled in Medicare?

Yes. Nicole Clarke 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 Nicole Clarke affiliated with any hospitals?

According to CMS data, Nicole Clarke is affiliated with Ochsner Lafayette General Medical Center, Ochsner Medical Center Acute and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Nicole Clarke was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.