ALICIA CLARK FNP
NPI 1821469537
Nurse Practitioner - Family in Colorado Springs, CO
About Alicia Clark Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA CLARK FNP (NPI 1821469537) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (C-APN.0103064-C-NP) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Osage Beach, and is a graduate of University Of Missouri, Columbia School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
Alicia 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80907
- Reassigned Medicare billing, Colorado enrollment
- 51 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 80907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
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 Alicia Clark's NPI number?
The NPI number for Alicia Clark is 1821469537. It was assigned to this individual provider in the NPPES registry on October 8, 2015.
Where is Alicia Clark located?
Alicia Clark practices at 1625 Medical Center Pt Ste 200, Colorado Springs, CO 80907. The listed phone number is (719) 960-0363.
What is Alicia Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Clark enrolled in Medicare?
Yes. Alicia 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 Alicia Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Clark reassigns Medicare benefits to Cs Cardiology Newco LLC (Colorado Springs, 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 Alicia 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 Alicia Clark was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Alicia Clark, FNP · NPI 1821469537
Family physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since October 8, 2015.
## Identity
- **NPI:** 1821469537 (Entity type: Individual)
- **Enumerated:** October 8, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** C-APN.0103064-C-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 MEDICAL CENTER PT STE 200, Colorado Springs, CO 80907-5748
- **Phone:** (719) 960-0363
## 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:** Cs Cardiology Newco LLC (NPI 1376324293, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** October 31, 2024
- **Other identifiers:** Medicaid 420030171 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1821469537) · Data from the CMS NPPES public registry.