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HEATHER CLARK APRN PMHNP-BC
NPI 1679308423
Nurse Practitioner - Psychiatric/Mental Health in Nicholasville, KY

Active since September 03, 2024PECOS Enrolled
506 N MAIN ST, NICHOLASVILLE, KY 40356(866) 934-7450 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Feb 3, 2025, Dec 18, 2024 and 1 more (4 updates tracked since 2024).

About Heather Clark Aprn Pmhnp-bc NPPES

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

HEATHER CLARK APRN PMHNP-BC (NPI 1679308423) is an individual psychiatric/mental health provider in Nicholasville, Kentucky, licensed in Kentucky (4026229) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679308423
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER CLARKCredential: APRN PMHNP-BC
Location Address506 N MAIN STNicholasville, KY 40356-1134
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Phone(866) 934-7450
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1679308423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4026229
Also ListedRegistered NurseTaxonomy 163W00000X · License 1137394 (KY)
506 N MAIN ST, Nicholasville, KY 40356
Open in Google Maps ↗

Other Identifiers 1

Medicaid7101030890KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Clark Aprn Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789111923
PECOS Enrollment IDI20241230000567
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 40356 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

MRS. DINAH JEAN WALKER LPCA
Counselor (Professional)
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357
MRS. PATRICIA RENE THOMPSON CADC, CAC
Counselor (Addiction (Substance Use Disorder))
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357
SHELBI WATTS APRN
Nurse Practitioner (Psychiatric/Mental Health)
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357
DR. TIMOTHY C. SUNDA, D.C., P.S.C.
Chiropractor
506 N MAIN ST, SUITE A
NICHOLASVILLE, KY 40356
Jessamine County (859) 887-3140
DANIELLE SKELLY
Counselor (Addiction (Substance Use Disorder))
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357
AMANDA MAE CARPENTER CADC
Counselor (Addiction (Substance Use Disorder))
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (513) 834-7063
MS. FALLON MICHELLE CARNES MSW, LCSW
Social Worker (Clinical)
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357
KELSEE BROOKE BURCHFIELD LPN
Licensed Practical Nurse
506 N MAIN ST
NICHOLASVILLE, KY 40356
Jessamine County (833) 510-4357

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1679308423. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Heather Clark located?

Heather Clark practices at 506 N Main St, Nicholasville, KY 40356. The listed phone number is (866) 934-7450.

What is Heather Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Clark enrolled in Medicare?

Yes. Heather Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.