BRENDA LOU CLARK FNP
NPI 1760479661
Nurse Practitioner - Family in Matthews, NC

Q: What is Brenda Clark's NPI number?

The NPI number for Brenda Clark is 1760479661. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Brenda Clark'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 Brenda Clark was last updated on July 15, 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.

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

332 N TRADE ST, STE 1100, MATTHEWS, NC 28105(704) 512-6850 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 55 more (58 updates tracked since 2018).

On this page

About Brenda Lou Clark Fnp NPPES

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

BRENDA LOU CLARK FNP (NPI 1760479661) is an individual family provider in Matthews, North Carolina, licensed in North Carolina (5009311) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760479661

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRENDA LOU CLARKCredential: FNP

Location Address332 N TRADE ST, STE 1100Matthews, NC 28105-1728

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 512-6850

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 5, 2005

Last NPPES UpdateJuly 15, 202458 updates tracked since enumeration

✔ NPI 1760479661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5009311

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5009311 (NC)

332 N TRADE ST, Matthews, NC 28105

Open in Google Maps ↗

Secondary Practice Locations 4

Location 15727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930

Location 25717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150

Location 37810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636

Location 410210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, 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

Brenda Lou Clark Fnp 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 ID2163437641

PECOS Enrollment IDI20170519000255

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

Medicare enrollment records show Brenda Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc

Same address

Family Medicine

332 N TRADE ST, STE 1100
Matthews, NC 28105

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1700079225 (704) 512-6850

Arboretum Urgent Care Center

3.7 mi

Family Medicine

7810 PROVIDENCE RD, STE 102
Charlotte, NC 28226

Reassigned Medicare billing, North Carolina enrollment
157 clinicians in this Medicare group

NPI 1457380313 (704) 543-6636

Carolinas Medical Center

6.8 mi

Psychiatry

7825 BALLANTYNE COMMONS PKWY, SUITE 110
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1427303056 (704) 446-8031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

176 services159 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

47 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

25 services25 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 17

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

RACHAEL COLLINS

Physician Assistant

332 N TRADE ST, SUITE 1100
MATTHEWS, NC 28105

Mecklenburg County (704) 512-6850

COURTNEY LYNN ELLIS PA

Physician Assistant

332 N TRADE ST, STE 1500
MATTHEWS, NC 28105

Mecklenburg County (704) 512-6820

JULIO E DE PENA FERNANDEZ MD

Internal Medicine

332 N TRADE ST, STE 2000
MATTHEWS, NC 28105

Mecklenburg County (704) 302-8500

GEORGE ANTHONY MANOUSOS MD

Pediatrics

332 N TRADE ST, STE 1500
MATTHEWS, NC 28105

Mecklenburg County (704) 512-6820

ODILE KAMANZI MD

Internal Medicine

332 N TRADE ST, STE 2000
MATTHEWS, NC 28105

Mecklenburg County (704) 302-8500

WIN JIR LIN PA

Physician Assistant (Medical)

332 N TRADE ST, STE 1100
MATTHEWS, NC 28105

Mecklenburg County (704) 512-6850

RACHEL WIESE JONES MD

Pediatrics

332 N TRADE ST, STE 1500
MATTHEWS, NC 28105

Mecklenburg County (704) 512-6820

MECKLENBURG MEDICAL GROUP

Dermatology

332 N TRADE ST, STE 2000
MATTHEWS, NC 28105

Mecklenburg County (704) 302-8500

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 Brenda Clark's NPI number?

The NPI number for Brenda Clark is 1760479661. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Brenda Clark located?

Brenda Clark practices at 332 N Trade St Ste 1100, Matthews, NC 28105. The listed phone number is (704) 512-6850.

What is Brenda Clark's specialty?

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

Is Brenda Clark enrolled in Medicare?

Yes. Brenda 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 Brenda Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Clark reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Matthews, NC), Arboretum Urgent Care Center (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). 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 Brenda Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenda Clark accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Brenda 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.

Is Brenda Clark affiliated with any hospitals?

According to CMS data, Brenda Clark is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Brenda Clark was last updated on July 15, 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.