MRS. KAILEY CLARK ARNP-C
NPI 1912363946
Nurse Practitioner - Family in Tampa, FL

Q: What is Kailey Clark's NPI number?

The NPI number for Kailey Clark is 1912363946. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Q: What is Kailey 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 Kailey Clark was last updated on July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 06, 2016PECOS EnrolledAccepts Medicare Assignment

4612 N HABANA AVE FL 2, TAMPA, FL 33614(813) 875-9000(813) 874-3278 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2024, Oct 8, 2020, May 12, 2016 and 1 more (4 updates tracked since 2016).

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About Mrs. Kailey Clark Arnp-c NPPES

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

MRS. KAILEY CLARK ARNP-C (NPI 1912363946) is an individual family provider in Tampa, Florida, licensed in Florida (APRN9320963) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912363946

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAILEY CLARKCredential: ARNP-C

Location Address4612 N HABANA AVE FL 2Tampa, FL 33614-7101

Mailing Address4612 N Habana Ave Fl 2Tampa, FL 33614-7101 · (813) 875-9000 · Fax (813) 874-3278

Phone(813) 875-9000

Fax(813) 874-3278

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 6, 2016

Last NPPES UpdateJuly 21, 20244 updates tracked since enumeration

NPPES CertifiedJuly 21, 2024

✔ NPI 1912363946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN9320963

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9320963 (FL)

4612 N HABANA AVE FL 2, Tampa, FL 33614

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Other Identifiers 1

Medicaid016597100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Kailey Clark Arnp-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 ID446555049

PECOS Enrollment IDI20160218002453

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

525 services408 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

161 services154 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

142 services142 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 11

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

SHALIN SHAH M.D.

Internal Medicine (Cardiovascular Disease)