MRS. PAMELA KAY CLARK FNP-BC
NPI 1811231830
Nurse Practitioner - Family in Cortez, CO
About Mrs. Pamela Kay Clark Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PAMELA KAY CLARK FNP-BC (NPI 1811231830) is an individual family provider in Cortez, Colorado, licensed in Texas (834434) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita Falls, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Pamela Kay Clark Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Pamela Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cortez, CO 81321
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1235655838 (Colorado)
- 75 clinicians in this Medicare group
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 81321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORTEZ, CO 81321
CORTEZ, CO 81321
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 Pamela Clark's NPI number?
The NPI number for Pamela Clark is 1811231830. It was assigned to this individual provider in the NPPES registry on November 15, 2012.
Where is Pamela Clark located?
Pamela Clark practices at 1311A N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 565-8556.
What is Pamela Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamela Clark enrolled in Medicare?
Yes. Pamela 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 organization bills Medicare for Pamela Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Clark reassigns Medicare benefits to Southwest Health System Inc (Cortez, CO). 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 Pamela Clark'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 Pamela Clark was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Pamela Kay Clark, FNP-BC · NPI 1811231830
Family physician in Cortez, Colorado. Individual provider, active in the CMS NPPES registry since November 15, 2012.
## Identity
- **NPI:** 1811231830 (Entity type: Individual)
- **Enumerated:** November 15, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 834434 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1311A N MILDRED RD, Cortez, CO 81321-2231
- **Phone:** (970) 565-8556 · **Fax:** (970) 564-1134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southwest Health System Inc (NPI 1649241571, Cortez, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811231830) · Data from the CMS NPPES public registry.