Kristina Clark, APRN in Port Saint Lucie, FL - Medicare Nurse Practitioner

Kristina Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Port Saint Lucie, Florida. Her current practice location is 1420 Sw Saint Lucie West Blvd Ste 107, Port Saint Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 879-1112.

Kristina Clark is licensed to practice in Florida (license number APRN9324590) 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 1063871341.

Contact Information

	Kristina Clark, APRN
	1420 Sw Saint Lucie West Blvd Ste 107, Port Saint Lucie, FL 34986-1709
	(772) 879-1112
	(772) 879-1167

Map and Direction

Provider's Profile

Full Name	Kristina Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1420 Sw Saint Lucie West Blvd Ste 107, Port Saint Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063871341
Provider Enumeration Date: 02/16/2016
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3971875758
Enrollment ID: I20170815001968

Medical Identifiers

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

Identifier	Type	State	Issuer
1063871341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9324590 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9324590 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9324590 (Florida)	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. Kristina Clark allows following entities to bill medicare on her behalf.

Entity Name	Richard J Pena- Ariet Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609804624 PECOS PAC ID: 4183705445 Enrollment ID: O20080114000203

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. Kristina 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
Kristina Clark, APRN 9886 E. Verona Circle, Vero Beach, FL 32966-6670 Ph: () -	Kristina Clark, APRN 1420 Sw Saint Lucie West Blvd Ste 107, Port Saint Lucie, FL 34986-1709 Ph: (772) 879-1112

Reviews and Comments

Nurse Practitioner Nurses in Port Saint Lucie, FL

Shannon Louise Schaal, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3974 Sw Wycoff St, Port Saint Lucie, FL 34953 Phone: 772-201-4188
Yolette Jean-louis Martelly, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7009 Maidstone Dr, Port Saint Lucie, FL 34986 Phone: 561-633-1829
Claudia Patricia Santamaria, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8483 S Us Highway 1 Ste 19, Port Saint Lucie, FL 34952 Phone: 772-873-1770 Fax: 772-873-1781
Angela Michelle Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1589 Se Belcrest St, Port Saint Lucie, FL 34952 Phone: 772-370-1655
Christie Faye Rodriguez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2465 Sw Carpenter Street, Port Saint Lucie, FL 34984 Phone: 772-812-6838
Mrs. Jackeline Conde, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Sw Glenview Ct, Suites 812 And 814, Port Saint Lucie, FL 34953 Phone: 772-240-7822
Dan Asher Miller, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2038 Se North Blackwell Dr, Port Saint Lucie, FL 34952 Phone: 772-408-3055

Kristina Clark, APRN - Medicare Nurse Practitioner in Port Saint Lucie, FL