KELLY CLARK APRN-CNP
NPI 1902579238
Nurse Practitioner - Gerontology in Cincinnati, OH
About Kelly Clark Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CLARK APRN-CNP (NPI 1902579238) is an individual gerontology provider in Cincinnati, Ohio, licensed in Ohio (APRN-CNP.0029273) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kelly Clark Aprn-cnp 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Clark's NPI number?
The NPI number for Kelly Clark is 1902579238. It was assigned to this individual provider in the NPPES registry on August 2, 2021.
Where is Kelly Clark located?
Kelly Clark practices at 667 Converse Dr, Cincinnati, OH 45240. The listed phone number is (513) 967-5315.
What is Kelly Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kelly Clark enrolled in Medicare?
Yes. Kelly 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 Kelly Clark accept?
Health plans from CareSource and Molina Healthcare list Kelly 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 Kelly Clark was last updated on August 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.
# Kelly Clark, APRN-CNP · NPI 1902579238
Gerontology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since August 2, 2021.
## Identity
- **NPI:** 1902579238 (Entity type: Individual)
- **Enumerated:** August 2, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN-CNP.0029273 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 667 CONVERSE DR, Cincinnati, OH 45240-3619
- **Phone:** (513) 967-5315
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 17, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1902579238) · Data from the CMS NPPES public registry.