KELLY CLARK
NPI 1952727414
Nurse Practitioner - Acute Care in Boston, MA
About Kelly Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CLARK (NPI 1952727414) is an individual acute care provider in Boston, Massachusetts, licensed in Massachusetts (RN167845) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massachusetts General Hospital
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 1952727414. It was assigned to this individual provider in the NPPES registry on March 7, 2014.
Where is Kelly Clark located?
Kelly Clark practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.
What is Kelly Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
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.
Is Kelly Clark affiliated with any hospitals?
According to CMS data, Kelly Clark is affiliated with Massachusetts General Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Clark was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 · NPI 1952727414
Acute Care physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 7, 2014.
## Identity
- **NPI:** 1952727414 (Entity type: Individual)
- **Enumerated:** March 7, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN167845 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 726-2000
## 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 2013
## Record status
- **NPPES last updated:** March 7, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1952727414) · Data from the CMS NPPES public registry.