Kristine Nicole Clark, DNP, ANP-C in Rochester, NY

Kristine Nicole Clark, DNP, ANP-C is a medicare enrolled "Physician Assistant" in Rochester, New York. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Highland Hospital Of Rochester and her current practice location is 435 E Henrietta Rd, Box Shg, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 760-5469.

Kristine Nicole Clark is licensed to practice in * (Not Available) (license number ) 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 1861707192.

Contact Information

	Kristine Nicole Clark, DNP, ANP-C
	435 E Henrietta Rd, Box Shg, Rochester, NY 14620-4629
	(585) 760-5469
	(585) 424-4184

Map and Direction

Provider's Profile

Full Name	Kristine Nicole Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	435 E Henrietta Rd, Rochester, New York
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:

Kristine Nicole Clark graduated from nursing school in 2009

NPI Data:

NPI Number: 1861707192
Provider Enumeration Date: 08/11/2010
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1456534130
Enrollment ID: I20160525002495

Medical Identifiers

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

Identifier	Type	State	Issuer
1861707192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	307254 (New York)	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Strong Memorial Hospital	Rochester, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Highland Hospital Of Rochester	5496641631	318

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. Kristine Nicole Clark allows following entities to bill medicare on her behalf.

Entity Name	Highland Hospital Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972548568 PECOS PAC ID: 5496641631 Enrollment ID: O20040225000444

Entity Name	Wesley Gardens Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184612830 PECOS PAC ID: 0840266151 Enrollment ID: O20050421001165

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. Kristine Nicole 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
Kristine Nicole Clark, DNP, ANP-C 435 E Henrietta Rd, Rochester, NY 14620-4629 Ph: (585) 760-5466	Kristine Nicole Clark, DNP, ANP-C 435 E Henrietta Rd, Box Shg, Rochester, NY 14620-4629 Ph: (585) 760-5469

Reviews and Comments

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Kristine Nicole Clark, DNP, ANP-C - Medicare Nurse Practitioner in Rochester, NY