MRS. KATHRYN LYNN CLARK AG-ACNP
NPI 1972261428
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Kathryn Clark's NPI number?

The NPI number for Kathryn Clark is 1972261428. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Q: What is Kathryn Clark'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 Kathryn Clark was last updated on December 1, 2021. 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.

Active since December 01, 2021PECOS EnrolledAccepts Medicare Assignment

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681(214) 960-5681 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kathryn Lynn Clark Ag-acnp NPPES

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

MRS. KATHRYN LYNN CLARK AG-ACNP (NPI 1972261428) is an individual acute care provider in Dallas, Texas, licensed in Texas (1059947) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972261428

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. KATHRYN LYNN CLARKCredential: AG-ACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address700 Ridgefield DrPlano, TX 75075-8715

Phone(214) 960-5681

Fax(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1972261428 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 TX · 1059947

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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. Kathryn Lynn Clark Ag-acnp 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 ID547651242

PECOS Enrollment IDI20220106000445

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

66 services22 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)