KENDRICK TERRILL CLACK FNP-C - NPI 1730597659 - Nurse Practitioner in Houston, TX

Q: What is Kendrick Clack's NPI number?

The NPI number for Kendrick Clack is 1730597659. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Q: What is Kendrick Clack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendrick Clack was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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About Kendrick Terrill Clack Fnp-c NPPES

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

KENDRICK TERRILL CLACK FNP-C (NPI 1730597659) is an individual family provider in Houston, Texas, licensed in Texas (AP125826) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730597659

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKENDRICK TERRILL CLACKCredential: FNP-C

Location Address3701 KIRBY DR STE 1230Houston, TX 77098-3916

Mailing Address3701 Kirby Dr Ste 1230Houston, TX 77098-3916 · (713) 526-0005

Phone(713) 526-0005

Sole ProprietorNo

Enumeration DateJuly 23, 2014

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1730597659 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

Licenses✔ Licensed in TX · AP125826✔ Licensed in IL · 209012875

3701 KIRBY DR STE 1230, Houston, TX 77098

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendrick Terrill Clack Fnp-c 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 77098 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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