Kristal D Clark, CNP in Cincinnati, OH - Medicare Nurse Practitioner

Kristal D Clark, CNP is a medicare enrolled "Nurse Practitioner - Family" in Cincinnati, Ohio. 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 Trihealth U Llc and her current practice location is 9775 Colerain Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 853-9700.

Kristal D Clark is licensed to practice in Ohio (license number APRN.CNP.19159) 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 1295184570.

Contact Information

	Kristal D Clark, CNP
	9775 Colerain Ave, Cincinnati, OH 45251-1442
	(513) 853-9700
	(513) 852-8969

Map and Direction

Provider's Profile

Full Name	Kristal D Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	9775 Colerain Ave, Cincinnati, Ohio
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:

Kristal D Clark graduated from nursing school in 2016

NPI Data:

NPI Number: 1295184570
Provider Enumeration Date: 06/08/2016
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6608156765
Enrollment ID: I20161206002288

Medical Identifiers

Medical identifiers for Kristal D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295184570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.19159 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bethesda North	Cincinnati, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trihealth U Llc	5799110953	31

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. Kristal D Clark allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

Entity Name	Trihealth U Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528605177 PECOS PAC ID: 5799110953 Enrollment ID: O20200115002702

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044

Entity Name	Mercy Health Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588390942 PECOS PAC ID: 6406232230 Enrollment ID: O20221003001334

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. Kristal D 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
Kristal D Clark, CNP 9775 Colerain Ave, Cincinnati, OH 45251-1442 Ph: (513) 853-9700	Kristal D Clark, CNP 9775 Colerain Ave, Cincinnati, OH 45251-1442 Ph: (513) 853-9700

Reviews and Comments

Nurse Practitioner Nurses in Cincinnati, OH

Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734
Ms. Darcel Derri Bolser, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Cincinnati, OH 45220 Phone: 513-475-6524 Fax: 513-475-6525
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316

Kristal D Clark, CNP - Medicare Nurse Practitioner in Cincinnati, OH