NICHOLE DEANN CLARK (FNP) – Family Nurse Practitioner, NPI 1548464936
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for NICHOLE DEANN CLARK (FNP)
145 SHAKERAG ROAD
CLINTON, AR 720316657
Phone: (501) 745-7161
Fax: (501) 745-8714
Type: Location
Clinton Post Office, 4th Avenue South, Clinton, Clinton County, Iowa, 52732, United States
CLINTON, AR 72031
Phone: (501) 745-7161
Fax: (501) 745-8714
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Currax Pharmaceuticals LLC ($50).
Total Amount
$119
General + Research + Ownership
Payments
6
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Currax Pharmaceuticals LLC | $50 |
| AstraZeneca Pharmaceuticals LP | $34 |
| PFIZER INC. | $20 |
| Lilly USA, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100219000050 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82270 | Stool analysis for blood to screen for colon tumors | 71 | 71 | $0 |
| 81002 | Urinalysis, manual test | 63 | 47 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 46 | 21 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 42 | 38 | $0 |
Insurance plans in this area (ZIP 72031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
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