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VIVIAN CLARK FNP-BC
NPI 1699528117
Nurse Practitioner - Family in Nokesville, VA

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
11855 PARKGATE DR, NOKESVILLE, VA 20181(571) 379-1228 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vivian Clark Fnp-bc NPPES

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

VIVIAN CLARK FNP-BC (NPI 1699528117) is an individual family provider in Nokesville, Virginia, licensed in Virginia (0024189931) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699528117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIVIAN CLARKCredential: FNP-BC
Location Address11855 PARKGATE DRNokesville, VA 20181-2719
Mailing Address11855 Parkgate DrNokesville, VA 20181-2719 · (571) 379-1228
Phone(571) 379-1228
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2024
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1699528117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024189931
11855 PARKGATE DR, Nokesville, VA 20181
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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 and accepts Medicare assignment

Vivian Clark Fnp-bc 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 ID6709323405
PECOS Enrollment IDI20240730004197
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 Vivian Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Coverage, LLC
362 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20181 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Vivian Clark's NPI number?

The NPI number for Vivian Clark is 1699528117. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Vivian Clark located?

Vivian Clark practices at 11855 Parkgate Dr, Nokesville, VA 20181. The listed phone number is (571) 379-1228.

What is Vivian Clark's specialty?

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

Is Vivian Clark enrolled in Medicare?

Yes. Vivian Clark 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.

Which organization bills Medicare for Vivian Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Clark reassigns Medicare benefits to Emergency Coverage, LLC (Newport, TN). 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 Vivian 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 Vivian Clark was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.