KRISTINA M CLARK NP
NPI 1679836605
Nurse Practitioner - Pediatrics in Schenectady, NY

Q: What is Kristina Clark's NPI number?

The NPI number for Kristina Clark is 1679836605. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Q: What is Kristina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Clark was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 25, 2012PECOS Enrolled

700 MCCLELLAN ST, SCHENECTADY, NY 12304(518) 372-5637(518) 372-1384 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristina M Clark Np NPPES

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

KRISTINA M CLARK NP (NPI 1679836605) is an individual pediatrics provider in Schenectady, New York, licensed in New York (382310) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679836605

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISTINA M CLARKCredential: NP

Location Address700 MCCLELLAN STSchenectady, NY 12304-1019

Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799

Phone(518) 372-5637

Fax(518) 372-1384

Sole ProprietorNo

Enumeration DateJune 25, 2012

Last NPPES UpdateJanuary 25, 2018

✔ NPI 1679836605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 382310

Also ListedRegistered NurseTaxonomy 163W00000X · License 501366 (NY)

700 MCCLELLAN ST, Schenectady, NY 12304

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Other Identifiers 2

Medicaid03494502NY

Other120919000071NY · Fidelis Care Ny

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina M Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12304 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

SUSAN A KESSLER MD

Ophthalmology

700 MCCLELLAN ST, SUITE 102
SCHENECTADY, NY 12304

Schenectady County (518) 344-7527

PHILIP FRATERRIGO

Ophthalmology

700 MCCLELLAN ST, ST. CLARE'S MEDICAL ARTS BUILDING
SCHENECTADY, NY 12304

Schenectady County (518) 382-1130

GERARD J MCGRINDER MD

Obstetrics & Gynecology

700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 374-9153

MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC

Obstetrics & Gynecology

700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 374-9153

SCHENECTADY OTOLARYNGOLOGY HEAD & NECK SURGERY LLP

Otolaryngology

700 MCCLELLAN ST, SUITE 700
SCHENECTADY, NY 12304

Schenectady County (518) 347-2950

FE A MONDRAGON MD

Obstetrics & Gynecology

700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 374-9153

DR. MARGARET M WOODS M.D.

Pediatrics

700 MCCLELLAN ST
SCHENECTADY, NY 12304

Schenectady County (518) 372-5637

BONITA HERMANS FNP

Nurse Practitioner (Family)

700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 374-9153

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 Kristina Clark's NPI number?

The NPI number for Kristina Clark is 1679836605. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Kristina Clark located?

Kristina Clark practices at 700 Mcclellan St, Schenectady, NY 12304. The listed phone number is (518) 372-5637.

What is Kristina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristina Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristina Clark was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.