DR. KRISTEN MORIAH CLARK MD
NPI 1821730623
Psychiatry & Neurology - Psychiatry in La Crosse, WI
About Dr. Kristen Moriah Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTEN MORIAH CLARK MD (NPI 1821730623) is an individual psychiatry provider in La Crosse, Wisconsin, licensed in Wisconsin (86790-20) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted 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
Dr. Kristen Moriah Clark Md 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 Kristen Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Kristen Clark's NPI number?
The NPI number for Kristen Clark is 1821730623. It was assigned to this individual provider in the NPPES registry on April 12, 2022.
Where is Kristen Clark located?
Kristen Clark practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Kristen Clark's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kristen Clark enrolled in Medicare?
Yes. Kristen 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 Kristen Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Clark reassigns Medicare benefits to Gundersen Lutheran Medical Center, Inc (La Crosse, WI). 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 Kristen Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristen Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Quartz list Kristen 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 Kristen Clark affiliated with any hospitals?
According to CMS data, Kristen Clark is affiliated with Gundersen Lutheran Medical Center.
When was this NPI record last updated?
The NPPES record for Kristen Clark was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kristen Moriah Clark, MD · NPI 1821730623
Psychiatry physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1821730623 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 86790-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## 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:** Gundersen Lutheran Medical Center, Inc (NPI 1689918377, La Crosse, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821730623) · Data from the CMS NPPES public registry.