MS. ZENOBIA CLARK (FNP-C) – Nurse Practitioner, NPI 1255719399
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. ZENOBIA CLARK (FNP-C)
17850 KEDZIE AVE STE 2200
HAZEL CREST, IL 604292056
Phone: (708) 799-9500
Fax: (708) 799-9555
Type: Location
1400 Otto Blvd
Chicago Heights, IL 604113871
Phone: (708) 733-7200
Fax: (708) 733-7222
Type: Location
100 W 162nd St
South Holland, IL 604732003
Phone: (708) 730-2200
Fax: (708) 210-0636
Type: Location
3442 218TH PL
MATTESON, IL 604432770
Phone: (708) 724-8498
Type: Mailing
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 $334.
Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($83).
Total Amount
$334
General + Research + Ownership
Payments
13
Total payment records
General Amount
$334
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 |
|---|---|
| GlaxoSmithKline, LLC. | $83 |
| AstraZeneca Pharmaceuticals LP | $59 |
| Exact Sciences Corporation | $55 |
| Novo Nordisk Inc | $48 |
| Dexcom, Inc. | $31 |
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: 2018-07-02
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 |
|---|---|---|---|---|
| I20180702001577 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 91 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 61 | $0 |
| 81002 | Urinalysis, manual test | 31 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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