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

Active since July 23, 2014PECOS Enrolled
3701 KIRBY DR STE 1230, HOUSTON, TX 77098(713) 526-0005 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Howard Brown Health Center
937 mi
Federally Qualified Health Center (FQHC)
641 W 63RD ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
NPI 1255791331 (773) 388-1600

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 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 6

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

MR. JOSE RAMON LARA NP-C
Nurse Practitioner (Adult Health)
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 526-0005
CROFOOTMD CLINIC PLLC
Internal Medicine
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 526-0005
MR. JOHN DAVID CHAPMAN PA-C
Physician Assistant (Surgical)
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 526-0005
JUSTIN GREGORY FERNANDES PHARMD
Pharmacist
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 258-1913
GORDON E CROFOOT JR. MD
Internal Medicine
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 526-0005
WALGREEN CO
Pharmacy
3701 KIRBY DR STE 1230
HOUSTON, TX 77098
Harris County (713) 258-1913

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 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.

Where is Kendrick Clack located?

Kendrick Clack practices at 3701 Kirby Dr Ste 1230, Houston, TX 77098. The listed phone number is (713) 526-0005.

What is Kendrick Clack's specialty?

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

Is Kendrick Clack enrolled in Medicare?

Yes. Kendrick Clack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendrick Clack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendrick Clack reassigns Medicare benefits to Howard Brown Health Center (Chicago, IL). 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 Kendrick Clack'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 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 15 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.