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TAMIKA CLARK N.P.
NPI 1730623141
Nurse Practitioner - Family in Kansas City, MO

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
2811 VINE ST, KANSAS CITY, MO 64109(816) 405-0386(510) 319-8402 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Apr 12, 2019, Jan 15, 2019 and 1 more (4 updates tracked since 2018).

About Tamika Clark N.p. NPPES

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

TAMIKA CLARK N.P. (NPI 1730623141) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2016041521) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730623141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMIKA CLARKCredential: N.P.
Location Address2811 VINE STKansas City, MO 64109-1339
Mailing Address2811 Vine StKansas City, MO 64109-1339 · (816) 405-0386 · Fax (510) 319-8402
Phone(816) 405-0386
Fax(510) 319-8402
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 5, 2016
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1730623141 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 MO · 2016041521
2811 VINE ST, Kansas City, MO 64109
Open in Google Maps ↗

Other Identifiers 2

Medicaid1730623141MO
Medicaid201153460CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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

Tamika Clark N.p. 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 ID9931480241
PECOS Enrollment IDI20170209000188
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 Reassignments

4

Medicare enrollment records show Tamika Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Morning Health Corp
Same address
Family Medicine
2811 VINE ST
Kansas City, MO 64109
  • Reassigned Medicare billing, Kansas and Missouri enrollments
NPI 1669183075 (816) 405-0386
Kansas City Kidney Consultants, PA
2.3 mi
Nephrology
4320 WORNALL RD STE 208
Kansas City, MO 64111
  • Reassigned Medicare billing, Kansas enrollment
  • 21 clinicians in this Medicare group
NPI 1164528626 (816) 531-0552
Signify Health Medical Associates Of Kansas LLC
178 mi
Multi-Specialty
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 260 clinicians in this Medicare group
NPI 1780261701 (877) 868-5351
Signify Health, LLC
443 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 64109 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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

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

GOOD MORNING HEALTH CORP
Family Medicine
2811 VINE ST
KANSAS CITY, MO 64109
Jackson County (816) 405-0386

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 Tamika Clark's NPI number?

The NPI number for Tamika Clark is 1730623141. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Tamika Clark located?

Tamika Clark practices at 2811 Vine St, Kansas City, MO 64109. The listed phone number is (816) 405-0386.

What is Tamika Clark's specialty?

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

Is Tamika Clark enrolled in Medicare?

Yes. Tamika 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 organizations bill Medicare for Tamika Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamika Clark reassigns Medicare benefits to 4 organizations: Good Morning Health Corp (Kansas City, MO), Kansas City Kidney Consultants, PA (Kansas City, MO), Signify Health Medical Associates Of Kansas LLC (Wichita, KS) and Signify Health, LLC (Dallas, TX). Each 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 Tamika Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamika Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Tamika Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamika Clark was last updated on May 8, 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.