KRISTEN M CLARK NP
NPI 1851668602
Nurse Practitioner - Pediatrics, Critical Care in Providence, RI

Q: What is Kristen Clark's NPI number?

The NPI number for Kristen Clark is 1851668602. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Q: What is Kristen Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Clark was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 22, 2011PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4201(401) 444-5527 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kristen M Clark Np NPPES

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

KRISTEN M CLARK NP (NPI 1851668602) is an individual pediatrics, critical care provider in Providence, Rhode Island, licensed in Rhode Island (NPP37652) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851668602

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameKRISTEN M CLARKCredential: NP

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy St, Hasbro 122Providence, RI 02903-4923 · (401) 444-4201 · Fax (401) 444-5527

Phone(401) 444-4201

Fax(401) 444-5527

Sole ProprietorNo

Enumeration DateNovember 22, 2011

✔ NPI 1851668602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in RI · NPP37652

593 EDDY ST, Providence, RI 02903

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Other Identifiers 1

OtherNPP37652RI · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen M Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02903 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 1851668602. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Kristen Clark located?

Kristen Clark practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4201.

What is Kristen Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Kristen Clark enrolled in Medicare?

Yes. Kristen Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Clark was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.