HEATHER CLARK APRN PMHNP-BC
NPI 1679308423
Nurse Practitioner - Psychiatric/Mental Health in Nicholasville, KY
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heather Clark Aprn Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heather Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45206
- Reassigned Medicare billing, Kentucky enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NICHOLASVILLE, KY 40356
NICHOLASVILLE, KY 40356
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.
Which organization bills Medicare for Heather Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Clark reassigns Medicare benefits to Brightview, LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Clark accept?
Health plans from Anthem Blue Cross and Blue Shield list Heather 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 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 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.
# Heather Clark, APRN PMHNP-BC · NPI 1679308423
Psychiatric/Mental Health physician in Nicholasville, Kentucky. Individual provider, active in the CMS NPPES registry since September 3, 2024.
## Identity
- **NPI:** 1679308423 (Entity type: Individual)
- **Enumerated:** September 3, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4026229 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 N MAIN ST, Nicholasville, KY 40356-1134
- **Phone:** (866) 934-7450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brightview, LLC (NPI 1659769446, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 12, 2025
- **Other identifiers:** Medicaid 7101030890 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1679308423) · Data from the CMS NPPES public registry.