Kimberly Tenita Clark, CNP - Medicare Nurse Practitioner in Berea, OH

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Kimberly Tenita Clark, CNP is a medicare enrolled "Nurse Practitioner" in Berea, Ohio. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Renaissance Behavioral Health Llc and her current practice location is 202 E Bagley Rd, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 260-8327.

Kimberly Tenita Clark is licensed to practice in Ohio (license number APRN.CNP.14022) 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 1578752267.

Contact Information

Kimberly Tenita Clark, CNP
202 E Bagley Rd,
Berea, OH 44017-2058
(440) 260-8327
(440) 260-8305

Map and Direction




Provider's Profile

Full NameKimberly Tenita Clark
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location202 E Bagley Rd, Berea, Ohio
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:
  • Kimberly Tenita Clark graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1578752267
  • Provider Enumeration Date: 10/17/2007
  • Last Update Date: 10/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7719137298
  • Enrollment ID: I20130109000235

Medical Identifiers

Medical identifiers for Kimberly Tenita Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578752267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 304700 (Ohio)Secondary
363LA2200XNurse Practitioner - Adult Health A0812095 (Ohio)Secondary
363L00000XNurse Practitioner COA.14022 (Ohio)Secondary
363L00000XNurse Practitioner APRN.CNP.14022 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Renaissance Behavioral Health Llc33759678544

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. Kimberly Tenita Clark allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932386059
PECOS PAC ID: 9234041948
Enrollment ID: O20031119000596
Entity NameOhioguidestone
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507
Entity NameBow Tie Medical Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811328065
PECOS PAC ID: 7315263613
Enrollment ID: O20150304001189
Entity NameRenaissance Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689251845
PECOS PAC ID: 3375967854
Enrollment ID: O20210914000819

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. Kimberly Tenita 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
Kimberly Tenita Clark, CNP
3500 Carnegie Ave,
Cleveland, OH 44115-2641

Ph: (440) 260-8900		Kimberly Tenita Clark, CNP
202 E Bagley Rd,
Berea, OH 44017-2058

Ph: (440) 260-8327

Reviews and Comments


Nurse Practitioner Nurses in Berea, OH

Jessica Shattuck, APRN-CNM, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 108 Slippery Rock Ln, Berea, OH 44017
Phone: 440-610-3710    
Ciara Pruitt,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 255 Front St, Berea, OH 44017
Phone: 440-523-9966    Fax: 216-584-2895
Amanda Cafarelli De Leon,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 563 W Bagley Rd, Berea, OH 44017
Phone: 440-234-8455    
Miss Tara Mcclure, CN-P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 109 Slippery Rock Ln, Berea, OH 44017
Phone: 216-544-0652    
Lauren Ethel Bara, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 275 Eastland Rd, Berea, OH 44017
Phone: 440-826-2178    Fax: 440-826-3382
Tyecia Stevens, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 398 W Bagley Rd Ste 12, Berea, OH 44017
Phone: 216-340-0005    
Keara Robertson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 W Bagley Rd, Berea, OH 44017
Phone: 440-298-8007    

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.