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KIERA ELISE CLARK NP
NPI 1699369645
Nurse Practitioner - Family in Shiloh, NC

Active since February 21, 2021PECOS Enrolled
144 MILLTOWN RD, SHILOH, NC 27974(301) 904-4377 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Mar 4, 2026, Sep 3, 2025 and 3 more (6 updates tracked since 2021).

About Kiera Elise Clark Np NPPES

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

KIERA ELISE CLARK NP (NPI 1699369645) is an individual family provider in Shiloh, North Carolina, licensed in North Carolina (5014172) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699369645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIERA ELISE CLARKCredential: NP
Location Address144 MILLTOWN RDShiloh, NC 27974-6220
Mailing Address144 Milltown RdShiloh, NC 27974-6220
Phone(301) 904-4377
Sole ProprietorYes
Enumeration DateFebruary 21, 2021
Last NPPES UpdateMay 4, 20266 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1699369645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5014172
Also ListedFamily MedicineTaxonomy 207Q00000X · License 245136 (NC)
144 MILLTOWN RD, Shiloh, NC 27974
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiera Elise 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.

Medicare Billing Reassignment

Medicare enrollment records show Kiera Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Carolina Cardiovascular, PA
10 mi
Cardiovascular Disease
1134 N ROAD ST, BLDG.9
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1043264724 (252) 338-9451

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 27974 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Kiera Clark's NPI number?

The NPI number for Kiera Clark is 1699369645. It was assigned to this individual provider in the NPPES registry on February 21, 2021.

Where is Kiera Clark located?

Kiera Clark practices at 144 Milltown Rd, Shiloh, NC 27974. The listed phone number is (301) 904-4377.

What is Kiera Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kiera Clark enrolled in Medicare?

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

Which organization bills Medicare for Kiera Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiera Clark reassigns Medicare benefits to Eastern Carolina Cardiovascular, PA (Elizabeth City, NC). 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 Kiera Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiera Clark was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.