Krysta Ann Clark, NP in Winter Haven, FL - Medicare Nurse Practitioner

Krysta Ann Clark, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Winter Haven, Florida. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baycare Medical Group, Inc. and her current practice location is 400 Avenue F Se Fl 1, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 315-6775.

Krysta Ann Clark is licensed to practice in Florida (license number APRN11018536) 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 1366094914.

Contact Information

	Krysta Ann Clark, NP
	400 Avenue F Se Fl 1, Winter Haven, FL 33880-3751
	(727) 315-6775
	Not Available

Map and Direction

Provider's Profile

Full Name	Krysta Ann Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	400 Avenue F Se Fl 1, Winter Haven, Florida
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:

Krysta Ann Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1366094914
Provider Enumeration Date: 07/14/2019
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1557795580
Enrollment ID: I20230426002673

Medical Identifiers

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

Identifier	Type	State	Issuer
1366094914	NPI	-	NPPES
117903900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	544669 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11018536 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APRN11018536 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Winter Haven Hospital	Winter haven, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Medical Group, Inc.	6406753623	1010

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. Krysta Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

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. Krysta Ann 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
Krysta Ann Clark, NP 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7469	Krysta Ann Clark, NP 400 Avenue F Se Fl 1, Winter Haven, FL 33880-3751 Ph: (727) 315-6775

Reviews and Comments

Nurse Practitioner Nurses in Winter Haven, FL

Yvelene Normil, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4968 Jackson St, Winter Haven, FL 33884 Phone: 786-859-8464
Mrs. Jessica Marie Valente, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Ave Nw, Winter Haven, FL 33881 Phone: 863-293-2144 Fax: 863-293-3732
Amy Londono, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Cambridge Dr, Winter Haven, FL 33881 Phone: 954-512-4009
Cheryl Williams Grothmann, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3250 Crump Rd, Winter Haven, FL 33881 Phone: 941-779-6219
Mrs. Kimberly Joann Jensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 E Central Ave, Winter Haven, FL 33880 Phone: 863-299-1107 Fax: 863-291-3318
Kaley Puckett, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 2nd St Ne, Winter Haven, FL 33881 Phone: 863-333-5723
Ms. Ebony Monique Rollins, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1134 1st St S, Winter Haven, FL 33880 Phone: 863-268-4626

Krysta Ann Clark, NP - Medicare Nurse Practitioner in Winter Haven, FL