Kelly Anne Clark, PMHNP-BC - Nurse Practitioner in Maineville, OH

Kelly Anne Clark, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Maineville, Ohio. Kelly Anne Clark is licensed to practice in Ohio (license number APRN.CNP.0036958) and her current practice location is 7916 Carraway Ct, Maineville, Ohio. She can be reached at her office (for appointments etc.) via phone at (513) 505-0588.

NPI number for Kelly Anne Clark is 1083450084 and her current mailing address is 7916 Carraway Ct, Maineville, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083450084.

Contact Information

Kelly Anne Clark, PMHNP-BC
7916 Carraway Ct,
Maineville, OH 45039-8994
(513) 505-0588
Not Available

Map and Direction




Provider's Profile

Full NameKelly Anne Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7916 Carraway Ct, Maineville, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083450084
  • Provider Enumeration Date: 07/08/2024
  • Last Update Date: 07/08/2024

Medical Identifiers

Medical identifiers for Kelly Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083450084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0036958 (Ohio)Primary

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. Kelly Anne Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Anne Clark, PMHNP-BC
7916 Carraway Ct,
Maineville, OH 45039-8994

Ph: (513) 505-0588
Kelly Anne Clark, PMHNP-BC
7916 Carraway Ct,
Maineville, OH 45039-8994

Ph: (513) 505-0588

Reviews and Comments


Nurse Practitioner Nurses in Maineville, OH

Nicole Lavon-renee Campbell, CNP
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Practice Location: 6632 S State Route 48, Maineville, OH 45039
Phone: 866-389-2727    
Sushila Mishra,
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Emily Newton, NP
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Medicare: Medicare Enrolled
Practice Location: 7126 Quellin Blvd, Maineville, OH 45039
Phone: 513-967-0636    
Ms. Tara Bolsinger,
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Medicare: Medicare Enrolled
Practice Location: 87 E Us Highway 22 And 3, Suite 800, Maineville, OH 45039
Phone: 513-677-9117    Fax: 513-677-0045
Harriet Awo Haysel, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2960 Socialville-foster Road, Maineville, OH 45039
Phone: 513-328-6953    
Mrs. Kellie Lyn Birchmeier, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6632 S State Route 48, Maineville, OH 45039
Phone: 866-389-2727    

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.