MS. KENDALL CLARK (FNP-C) – Family Nurse Practitioner, NPI 1821489337
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MS. KENDALL CLARK (FNP-C)
715 W OGEECHEE ST
SYLVANIA, GA 304678693
Phone: (912) 451-4100
Fax: (912) 451-4105
Type: Location
444 BRINSONS LOOP
SYLVANIA, GA 304676189
Phone: (912) 531-7465
Fax: (912) 531-7465
Type: Mailing
9900 BREN RD E
MINNETONKA, MN 553439664
Phone: (912) 531-7465
Type: Location
121 N MAIN ST
SYLVANIA, GA 304671818
Phone: (912) 451-4100
Fax: (912) 451-4105
Type: Location
PO BOX 194
SYLVANIA, GA 304670194
Phone: (912) 451-4100
Fax: (912) 531-7465
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Lilly USA, LLC ($33).
Total Amount
$142
General + Research + Ownership
Payments
9
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $33 |
| Amgen Inc. | $32 |
| AstraZeneca Pharmaceuticals LP | $29 |
| ABBVIE INC. | $17 |
| PFIZER INC. | $16 |
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: 2015-10-20
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 |
|---|---|---|---|---|
| I20151020000676 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 86 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 124 | 11 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 94 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 42 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 64 | 12 | $0 |
Insurance plans in this area (ZIP 30467)
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