KIM P LARK DO PC
NPI 1720275357
Family Medicine in Carlsbad, NM
About Kim P Lark Do Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM P LARK DO PC (NPI 1720275357) is a healthcare organization registered as a family medicine in Carlsbad, New Mexico and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Christi Michelle Yerby, Billing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim P Lark Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim P Lark Do PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D0954294
Kim P Lark Do · Carlsbad, NMFrequently 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 Kim P Lark Do PC's NPI number?
The NPI number for Kim P Lark Do PC is 1720275357. It was assigned to this organization in the NPPES registry on September 27, 2007.
Where is Kim P Lark Do PC located?
Kim P Lark Do PC is located at 2402 W Pierce St Ste 4A, Carlsbad, NM 88220. The listed phone number is (505) 234-9964.
What is Kim P Lark Do PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kim P Lark Do PC enrolled in Medicare?
Yes. Kim P Lark Do PC is registered in the Medicare PECOS enrollment system.
When is Kim P Lark Do PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kim P Lark Do PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kim P Lark Do PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kim P Lark Do PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0954294) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kim P Lark Do PC was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kim P Lark Do Pc · NPI 1720275357
Family Medicine organization in Carlsbad, New Mexico. Organization record, active in the CMS NPPES registry since September 27, 2007.
## Identity
- **NPI:** 1720275357 (Entity type: Organization)
- **Enumerated:** September 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Christi Yerby, BILLING SPECIALIST
## Practice location
- **Address:** 2402 W PIERCE ST, STE 4A, Carlsbad, NM 88220-3537
- **Phone:** (505) 234-9964 · **Fax:** (505) 234-9962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2007
- **Other identifiers:** Other NM004378 (NM); Medicaid 00T9592 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720275357) · Data from the CMS NPPES public registry.