DR. MICHAEL KENNETH CLARDY DNP, AGACNP
NPI 1922796473
Nurse Practitioner - Acute Care in Little Rock, AR

Q: What is Michael Clardy's NPI number?

The NPI number for Michael Clardy is 1922796473. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Michael Clardy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Clardy was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 532, LITTLE ROCK, AR 72205(501) 686-5311(501) 686-5935 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael Kenneth Clardy Dnp, Agacnp NPPES

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

DR. MICHAEL KENNETH CLARDY DNP, AGACNP (NPI 1922796473) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (223909) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922796473

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameDR. MICHAEL KENNETH CLARDYCredential: DNP, AGACNP

Location Address4301 W MARKHAM ST # 532Little Rock, AR 72205-7199

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 686-5311

Fax(501) 686-5935

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 24, 2023

Last NPPES UpdateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1922796473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AR · 223909

4301 W MARKHAM ST # 532, Little Rock, AR 72205

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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 and accepts Medicare assignment

Dr. Michael Kenneth Clardy Dnp, Agacnp 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 ID446610422

PECOS Enrollment IDI20230721003344

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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 19

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

LAURA K DEVALL CNP

Nurse Practitioner (Acute Care)