KERRY A CLARK NP
NPI 1861436362
Nurse Practitioner - Family in Providence, RI

Q: What is Kerry Clark's NPI number?

The NPI number for Kerry Clark is 1861436362. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Kerry Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerry Clark was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 15, 2006PECOS Enrolled

2 DUDLEY ST, STE 200, PROVIDENCE, RI 02905(401) 457-1540 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kerry A Clark Np NPPES

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

KERRY A CLARK NP (NPI 1861436362) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00233) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861436362

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKERRY A CLARKCredential: NP

Location Address2 DUDLEY ST, STE 200Providence, RI 02905-3236

Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 457-1540

Phone(401) 457-1540

Sole ProprietorYes

Enumeration DateJune 15, 2006

Last NPPES UpdateMarch 17, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1861436362 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 RI · APRN00233

2 DUDLEY ST, Providence, RI 02905

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry A 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 02905 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.

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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.

LARS STANGENBERG MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

ALICIA P CAPRIO

Student in an Organized Health Care Education/Training Program

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 274-1100

CHARLENE A TATE MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

J DONALD EASTON MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

MRS. AMY POTTER PILOTTE APN, BC

Nurse Practitioner (Adult Health)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 228-0595

NANCY ELEANOR STONE NP

Nurse Practitioner

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 453-4500

EDWARD J. MARCACCIO JR. MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

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 Kerry Clark's NPI number?

The NPI number for Kerry Clark is 1861436362. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Kerry Clark located?

Kerry Clark practices at 2 Dudley St Ste 200, Providence, RI 02905. The listed phone number is (401) 457-1540.

What is Kerry Clark's specialty?

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

Is Kerry Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kerry Clark was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.