Kelly Noelle Clark, FNP in Lone Tree, CO - Medicare Nurse Practitioner

Kelly Noelle Clark, FNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lone Tree, Colorado. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Colorado Permanente Medical Group Pc and her current practice location is 10240 Park Meadows Dr, Lone Tree, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 338-4545.

Kelly Noelle Clark is licensed to practice in Colorado (license number APN.0992562-NP) 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 1124567276.

Contact Information

	Kelly Noelle Clark, FNP
	10240 Park Meadows Dr, Lone Tree, CO 80124-5425
	(303) 338-4545
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Noelle Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	10240 Park Meadows Dr, Lone Tree, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Noelle Clark graduated from nursing school in 2016

NPI Data:

NPI Number: 1124567276
Provider Enumeration Date: 02/21/2017
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8729355458
Enrollment ID: I20170530001656

Medical Identifiers

Medical identifiers for Kelly Noelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124567276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0992562-NP (Colorado)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APN.0992562-NP (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Permanente Medical Group Pc	1254238454	1156

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. Kelly Noelle Clark allows following entities to bill medicare on her behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

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 Noelle 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 Address	Practice Location Address
Kelly Noelle Clark, FNP 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () -	Kelly Noelle Clark, FNP 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545

Reviews and Comments

Nurse Practitioner Nurses in Lone Tree, CO

Mrs. Michelle R Stelter, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy Ste 221, Lone Tree, CO 80124 Phone: 303-662-1191 Fax: 303-662-1342
Ms. Mary Silverman Pugh, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-2200 Fax: 720-225-2269
Terri Lynn Markham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9218 Kimmer Dr Ste 207, Lone Tree, CO 80124 Phone: 720-493-9006 Fax: 720-242-7520
Colleen Campbell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545
Jennifer Zells, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9695 S Yosemite St, Suite 324, Lone Tree, CO 80124 Phone: 303-706-9054 Fax: 303-302-9799
Katrina Ann Hazlett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10103 Ridgegate Pkwy Ste G23, Lone Tree, CO 80124 Phone: 303-225-0025 Fax: 303-225-0029
Ms. Amy Marlene Deviney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9218 Kimmer Dr Ste 207, Lone Tree, CO 80124 Phone: 720-493-9006 Fax: 720-242-7520

Kelly Noelle Clark, FNP - Medicare Nurse Practitioner in Lone Tree, CO