BREANNA FAITH CLARK MSN, FPMHNP
NPI 1962088559
Nurse Practitioner - Psychiatric/Mental Health in Independence, MO
About Breanna Faith Clark Msn, Fpmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA FAITH CLARK MSN, FPMHNP (NPI 1962088559) is an individual psychiatric/mental health provider in Independence, Missouri, licensed in Missouri (2021023279) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Breanna Faith Clark Msn, Fpmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64055 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, MO 64055
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 Breanna Clark's NPI number?
The NPI number for Breanna Clark is 1962088559. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Breanna Clark located?
Breanna Clark practices at 14310 E 42nd St S, Independence, MO 64055. The listed phone number is (816) 254-3652.
What is Breanna Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Breanna Clark enrolled in Medicare?
Yes. Breanna 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 Breanna Clark accept?
Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Breanna 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 Breanna Clark was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Breanna Faith Clark, MSN, FPMHNP · NPI 1962088559
Psychiatric/Mental Health physician in Independence, Missouri. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1962088559 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2021023279 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 14310 E 42ND ST S, Independence, MO 64055-7308
- **Phone:** (816) 254-3652
## 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:** July 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962088559) · Data from the CMS NPPES public registry.