Kristen Marie Clark, NNP-BC in Saint Louis, MO

Kristen Marie Clark, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Saint Louis, Missouri. Her current practice location is 1 Childrens Pl, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 319-7763.

Kristen Marie Clark is licensed to practice in Missouri (license number 2020021035) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699386417.

Contact Information

	Kristen Marie Clark, NNP-BC
	1 Childrens Pl, Saint Louis, MO 63110-1002
	(314) 319-7763
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Marie Clark
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699386417
Provider Enumeration Date: 08/14/2020
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6103235437
Enrollment ID: I20240307000378

Medical Identifiers

Medical identifiers for Kristen Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699386417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	104422085 (Missouri)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	2020021035 (Missouri)	Primary

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. Kristen Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	The Curators Of The University Of Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290

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. Kristen Marie 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
Kristen Marie Clark, NNP-BC 1 Childrens Pl, Saint Louis, MO 63110-1002 Ph: (314) 454-6000	Kristen Marie Clark, NNP-BC 1 Childrens Pl, Saint Louis, MO 63110-1002 Ph: (314) 319-7763

Reviews and Comments

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Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Kristen Marie Clark, NNP-BC - Medicare Nurse Practitioner in Saint Louis, MO