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KELLI ANNE CLARK NP
NPI 1750070918
Nurse Practitioner - Psychiatric/Mental Health in Highland, CA

Active since May 03, 2023PECOS Enrolled
27259 NONA AVE, HIGHLAND, CA 92346(909) 633-2647 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelli Anne Clark Np NPPES

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

KELLI ANNE CLARK NP (NPI 1750070918) is an individual psychiatric/mental health provider in Highland, California, licensed in California (95018043) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750070918
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLI ANNE CLARKCredential: NP
Location Address27259 NONA AVEHighland, CA 92346-2525
Mailing Address27259 Nona AveHighland, CA 92346-2525 · (909) 633-2647
Phone(909) 633-2647
Sole ProprietorYes
Enumeration DateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1750070918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95018043
27259 NONA AVE, Highland, CA 92346
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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)

Kelli Anne Clark Np 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 92346 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Kelli Clark's NPI number?

The NPI number for Kelli Clark is 1750070918. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Kelli Clark located?

Kelli Clark practices at 27259 Nona Ave, Highland, CA 92346. The listed phone number is (909) 633-2647.

What is Kelli Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelli Clark enrolled in Medicare?

Yes. Kelli Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelli Clark was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.