Ms Kerry Clark, AGNP-BC - Medicare Nurse Practitioner in Alexandria, VA

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Ms Kerry Clark, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Alexandria, Virginia. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Loudoun Medical Group, Pc and her current practice location is 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 988-4683.

Ms Kerry Clark is licensed to practice in Virginia (license number 0024178999) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932575743.

Contact Information

Ms Kerry Clark, AGNP-BC
4660 Kenmore Avenue, Suite 305 & 500,
Alexandria, VA 22304-1306
(703) 988-4683
Not Available

Map and Direction




Physician's Profile

Full NameMs Kerry Clark
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kerry Clark graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1932575743
  • Provider Enumeration Date: 08/15/2015
  • Last Update Date: 03/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779891189
  • Enrollment ID: I20151005003071

Medical Identifiers

Medical identifiers for Ms Kerry Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932575743NPI-NPPES
1932575743MedicaidVA
30016021870002MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine RN1038780 (District Of Columbia)Secondary
363LG0600XNurse Practitioner - Gerontology 0024178999 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health 0024178999 (Virginia)Primary
363LP2300XNurse Practitioner - Primary Care 0024178999 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Alexandria HospitalAlexandria, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Loudoun Medical Group, Pc0042119661288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kerry Clark allows following entities to bill medicare on her behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407908817
PECOS PAC ID: 0042119661
Enrollment ID: O20040102000616
Entity NameUnity Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093894172
PECOS PAC ID: 3476647264
Enrollment ID: O20071024000456
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kerry Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kerry Clark, AGNP-BC
224-d Cornwall St, Suite 403,
Leesburg, VA 20176-2704

Ph: (703) 737-6010		Ms Kerry Clark, AGNP-BC
4660 Kenmore Avenue, Suite 305 & 500,
Alexandria, VA 22304-1306

Ph: (703) 988-4683

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.