MS. WENDY MARIE CLARK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1902102536

MS. WENDY MARIE CLARK (APRN) is a healthcare provider. based in Polk city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. PN1282021 (FL). The NPI Number for MS. WENDY MARIE CLARK (APRN) is 1902102536

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. WENDY MARIE CLARK (APRN)
NPI
1902102536
Phone
(863) 701-3060
Address
9835 N ROAD 33
Enumeration Date
29 January 2011
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8662348534
Graduation Year
2021 (5 years ago)
PAC ID
2668868324
Group Practice PAC ID
0143127951
Professional Enrollment ID
I20220405002110
Address ID
FL338383101DU1023XRDXX300

Contacts

Secure Messaging
Wendy.Clark@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. WENDY MARIE CLARK (APRN)

  • 9835 N ROAD 33

    POLK CITY, FL 338689470

    Phone: (863) 701-3060

    Type: Mailing

  • 47 5TH ST NW

    WINTER HAVEN, FL 338814672

    Phone: (866) 234-8534

    Type: Mailing

  • 244 AVENUE D SW

    WINTER HAVEN, FL 338803423

    Phone: (866) 234-8534

    Type: Location

  • 21808 SR 54

    LUTZ, FL 33549

    Phone: (813) 428-6142

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $979.

Total Amount is formed as General ($979) + Research ($0) + Ownership ($0) = $979.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($599).

Total Amount

$979

General + Research + Ownership

Payments

48

Total payment records

General Amount

$979

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-04-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220405002110INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143127951View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
General PracticePR
-FL
Nurse PractitionerFL
P O D I A T R YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General PracticeMD
Nurse PractitionerFL
R H E U M A T O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check MS. WENDY MARIE CLARK (APRN) using NPI 1902102536?
NPI 1902102536 belongs to MS. WENDY MARIE CLARK (APRN); compare other details if you need extra assurance.
Active or inactive — what applies to MS. WENDY MARIE CLARK (APRN)?
You should see MS. WENDY MARIE CLARK (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with MS. WENDY MARIE CLARK (APRN)?
MS. WENDY MARIE CLARK (APRN)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. WENDY MARIE CLARK (APRN)?
Travel planning: use Polk City, Florida as the reference point for MS. WENDY MARIE CLARK (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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