KRISTINA CLARK (APRN) – Family Nurse Practitioner, NPI 1063871341
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KRISTINA CLARK (APRN)
9035 Americana Rd Ste 13
Vero Beach, FL 329666670
Phone: (954) 531-8630
Type: Location
9886 E Verona Cir
Vero Beach, FL 329663119
Phone: (954) 531-8630
Type: Location
9886 E. VERONA CIRCLE
VERO BEACH, FL 329666670
Phone:
Type: Mailing
Northwest St Lucie West Boulevard, Port St. Lucie, St. Lucie County, Florida, 34986, United States
PORT SAINT LUCIE, FL 349861963
Phone: (772) 879-1112
Fax: (772) 879-1167
Type: Location
1420 SW SAINT LUCIE WEST BLVD STE 107
PORT SAINT LUCIE, FL 349861709
Phone: (772) 879-1112
Fax: (772) 879-1167
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ABBVIE INC. ($161).
Total Amount
$256
General + Research + Ownership
Payments
13
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $161 |
| Alkermes, Inc. | $35 |
| Bayer Healthcare Pharmaceuticals Inc. | $22 |
| Novo Nordisk Inc | $20 |
| Exact Sciences Corporation | $18 |
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: 2017-08-15
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 |
|---|---|---|---|---|
| I20170815001968 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32966)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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