ALICIA CLARK FNP
NPI 1821469537
Nurse Practitioner - Family in Colorado Springs, CO

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
1625 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907(719) 960-0363 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2022, Nov 7, 2017 (2 updates tracked since 2017).

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

NPI1821469537
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA CLARKCredential: FNP
Location Address1625 MEDICAL CENTER PT STE 200Colorado Springs, CO 80907-5748
Mailing Address1625 Medical Center Pt Ste 200Colorado Springs, CO 80907-5748 · (719) 960-0363
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2015
Enumeration DateOctober 8, 2015
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1821469537 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
Licenses Licensed in CO · C-APN.0103064-C-NP Licensed in MO · 2015030545 Licensed in KS · 53-76985-042
1625 MEDICAL CENTER PT STE 200, Colorado Springs, CO 80907

Secondary Practice Location 1

Location 154 Hospital DrOsage Beach, MO 65065-3050 · Phone (573) 302-4406 · Fax (573) 302-4408

Other Identifiers 1

Medicaid420030171MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4688983224
PECOS Enrollment IDI20241109000357
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 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.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.2
Promoting Interoperability100
Improvement Activities40
Cost64.44

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.

Nurse Practitioner (Family)
1625 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Internal Medicine (Cardiovascular Disease)
1625 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Surgery (Vascular Surgery)
1625 MEDICAL CENTER PT STE 200
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.

What insurance does Alicia Clark accept?

Health plans from Medica list Alicia 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 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 22 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.