Riki Lee Clark, PMHNP - Medicare Nurse Practitioner in Springfield, MO

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Riki Lee Clark, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Missouri. Her current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 820-2000.

Riki Lee Clark is licensed to practice in Missouri (license number 2022042624) 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 1104541150.

Contact Information

Riki Lee Clark, PMHNP
1235 E Cherokee St,
Springfield, MO 65804-2203
(417) 820-2000
Not Available

Map and Direction




Provider's Profile

Full NameRiki Lee Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1235 E Cherokee St, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104541150
  • Provider Enumeration Date: 10/11/2022
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870962301
  • Enrollment ID: I20221206000720

Medical Identifiers

Medical identifiers for Riki Lee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104541150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2014029277 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2022042624 (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. Riki Lee Clark allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameMercy Hospital Springfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242159
PECOS PAC ID: 7416867593
Enrollment ID: O20050118000038
Entity NameMercy Clinic Joplin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264817
PECOS PAC ID: 0547300196
Enrollment ID: O20091218000092

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. Riki Lee 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 AddressPractice Location Address
Riki Lee Clark, PMHNP
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-2000		Riki Lee Clark, PMHNP
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-2000

Reviews and Comments


Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP
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Practice Location: 2828 N National Ave, Springfield, MO 65803
Phone: 417-837-4000    Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B
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Practice Location: 1901 E Bennett - B, Springfield, MO 65804
Phone: 417-619-4129    
Michelle Spencer, FNP-C
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Practice Location: 2750 S Campbell Ave, Springfield, MO 65807
Phone: 417-269-2281    Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP
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Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807
Phone: 417-875-3000    
Beverly Jo Gann, RNC,WHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803
Phone: 417-837-4000    Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1965 S Fremont Ave, Springfield, MO 65804
Phone: 417-820-5150    Fax: 417-820-5155
Sally R Schafer, FNP
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Medicare: Medicare Enrolled
Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802
Phone: 417-269-4636    Fax: 417-269-7036

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.