CAROL D. CLARK (ARNP, BC) – Gerontology Nurse Practitioner, NPI 1457423055
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAROL D. CLARK (ARNP, BC)
15051 SHELL POINT BLVD
FORT MYERS, FL 339081639
Phone: (239) 454-2146
Fax: (239) 454-2111
Type: Mailing
15051 Shell Point Blvd
Fort Myers, FL 339081639
Phone: (239) 454-2146
Fax: (239) 454-2111
Type: Location
13880 SHELL POINT PLAZA
SUITE 110
FORT MYERS, FL 339083504
Phone: (239) 454-2146
Fax: (239) 454-2111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 33908)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 81002 | Urinalysis, manual test | 161 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| - | FL | |
| Clinical Social Worker | NJ | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | NC | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| - | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.