MRS. KATHRYN LYNN CLARK AG-ACNP
NPI 1972261428
Nurse Practitioner - Acute Care in Dallas, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathryn Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75208
- Reassigned Medicare billing, Texas enrollment
- 254 clinicians in this Medicare group
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- 124 clinicians in this Medicare group
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Urgent Surgery Associates PA
- 120 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Baylor University Medical Center
Acute Care Hospitals · Dallas, TXPhysician 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.
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.
DALLAS, TX 75208
DALLAS, TX 75208
DALLAS, TX 75208
DALLAS, TX 75208
DALLAS, TX 75208
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 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.
Where is Kathryn Clark located?
Kathryn Clark practices at 221 W Colorado Blvd Ste 525, Dallas, TX 75208. The listed phone number is (214) 960-5681.
What is Kathryn Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathryn Clark enrolled in Medicare?
Yes. Kathryn 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.
Which organizations bill Medicare for Kathryn Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Clark reassigns Medicare benefits to 3 organizations: Dallas Pulmonary & Critical Care PA (Dallas, TX), North Texas Critical Care PA (Dallas, TX) and Urgent Surgery Associates, P.A. (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Clark accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company list Kathryn 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.
Is Kathryn Clark affiliated with any hospitals?
According to CMS data, Kathryn Clark is affiliated with Baylor University Medical Center.
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.
# Mrs. Kathryn Lynn Clark, AG-ACNP · NPI 1972261428
Acute Care physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 1, 2021.
## Identity
- **NPI:** 1972261428 (Entity type: Individual)
- **Enumerated:** December 1, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1059947 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 W COLORADO BLVD STE 525, Dallas, TX 75208-2312
- **Phone:** (214) 960-5681 · **Fax:** (214) 960-5681
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dallas Pulmonary & Critical Care PA (NPI 1235402728, Dallas, TX); North Texas Critical Care PA (NPI 1265863542, Dallas, TX); Urgent Surgery Associates, P.A. (NPI 1326077082, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972261428) · Data from the CMS NPPES public registry.