KRISTYN LYN CLARK
NPI 1982193298
Nurse Practitioner - Family in Louisville, KY

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2021 HIKES LN, LOUISVILLE, KY 40218(502) 446-5555(502) 394-3673 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Jan 12, 2021, May 16, 2018 and 1 more (4 updates tracked since 2018).

About Kristyn Lyn Clark NPPES

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

KRISTYN LYN CLARK (NPI 1982193298) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3012305) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982193298
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTYN LYN CLARK
Location Address2021 HIKES LNLouisville, KY 40218-4817
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 394-3673
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 2, 2018
Last NPPES UpdateApril 3, 20234 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1982193298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012305
2021 HIKES LN, Louisville, KY 40218

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

Kristyn Lyn 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.

PECOS PAC ID4183989411
PECOS Enrollment IDI20180607000757
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristyn Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services13 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist
2021 HIKES LN
LOUISVILLE, KY 40218
Nurse Practitioner (Family)
2021 HIKES LN
LOUISVILLE, KY 40218
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2021 HIKES LN
LOUISVILLE, KY 40218

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 Kristyn Clark's NPI number?

The NPI number for Kristyn Clark is 1982193298. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Kristyn Clark located?

Kristyn Clark practices at 2021 Hikes Ln, Louisville, KY 40218. The listed phone number is (502) 446-5555.

What is Kristyn Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristyn Clark enrolled in Medicare?

Yes. Kristyn 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 Kristyn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristyn Clark reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Kiosk Medicine Kentucky LLC (Louisville, KY). 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 Kristyn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristyn Clark accept?

Health plans from CareSource list Kristyn 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 Kristyn Clark affiliated with any hospitals?

According to CMS data, Kristyn Clark is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kristyn Clark was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.