KIMBERLY ELAINE CLARK FNP-C
NPI 1861366601
Nurse Practitioner - Family in Paris, TN

Active since October 03, 2025PECOS EnrolledAccepts Medicare Assignment
305 TYSON AVE, PARIS, TN 38242(731) 442-0687 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Dec 8, 2025 (2 updates tracked since 2025).

About Kimberly Elaine Clark Fnp-c NPPES

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

KIMBERLY ELAINE CLARK FNP-C (NPI 1861366601) is an individual family provider in Paris, Tennessee, licensed in Tennessee (40083) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Henry County Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861366601
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ELAINE CLARKCredential: FNP-C
Location Address305 TYSON AVEParis, TN 38242-4579
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 660-8739
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 3, 2025
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1861366601 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
License Licensed in TN · 40083
305 TYSON AVE, Paris, TN 38242

Other Names 1

Former Name (1)Kimberly Elaine Williams Rn

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

Kimberly Elaine Clark Fnp-c 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 ID3072094002
PECOS Enrollment IDI20260226003191
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38242 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
305 TYSON AVE
PARIS, TN 38242
General Practice
305 TYSON AVE
PARIS, TN 38242
Physician Assistant
305 TYSON AVE
PARIS, TN 38242
General Practice
305 TYSON AVE
PARIS, TN 38242
Dermatology
305 TYSON AVE
PARIS, TN 38242
Internal Medicine
305 TYSON AVE
PARIS, TN 38242
Internal Medicine
305 TYSON AVE
PARIS, TN 38242
Nurse Practitioner (Primary Care)
305 TYSON AVE
PARIS, TN 38242

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 Kimberly Clark's NPI number?

The NPI number for Kimberly Clark is 1861366601. It was assigned to this individual provider in the NPPES registry on October 3, 2025. The provider is also known as Kimberly Elaine Williams Rn.

Where is Kimberly Clark located?

Kimberly Clark practices at 305 Tyson Ave, Paris, TN 38242. The listed phone number is (731) 442-0687.

What is Kimberly Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Clark enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Clark affiliated with any hospitals?

According to CMS data, Kimberly Clark is affiliated with Henry County Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.