MS. BONNIE LOU CLARK (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1831472133

MS. BONNIE LOU CLARK (PMHNP-BC) is a healthcare provider. based in Sellersburg, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 71003710A (IN). The NPI Number for MS. BONNIE LOU CLARK (PMHNP-BC) is 1831472133

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. BONNIE LOU CLARK (PMHNP-BC)
NPI
1831472133
Phone
(502) 208-1357
Address
3018 PLANTATION DR
Enumeration Date
22 September 2011
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028951611
Graduation Year
2012 (14 years ago)
PAC ID
6305019217
Group Practice PAC ID
1557592474
Professional Enrollment ID
I20111109000074
Address ID
IN471707730SC966XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for MS. BONNIE LOU CLARK (PMHNP-BC)

  • 3018 PLANTATION DR

    SELLERSBURG, IN 471729174

    Phone: (502) 208-1357

    Fax: (812) 248-3388

    Type: Mailing

  • 131 E COURT AVE STE 101

    JEFFERSONVILLE, IN 471303600

    Phone: (502) 208-1357

    Fax: (812) 248-3388

    Type: Location

  • 1738 E OAK ST

    NEW ALBANY, IN 471501710

    Phone: (812) 944-2861

    Type: Mailing

  • 1319 DUNCAN AVE

    JEFFERSONVILLE, IN 471303759

    Phone: (812) 283-2308

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,233.

Total Amount is formed as General ($1,233) + Research ($0) + Ownership ($0) = $1,233.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($1,111).

Total Amount

$1,233

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$1,111
Neurelis, Inc.$100
Alkermes, Inc.$22
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: 2015-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111109000074INurse PractitionerINTBD
I20150605000707INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8953$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7841$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 47172)

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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: 1557592474View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
-KY

Reviews

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Frequently asked questions

What number should I use to identify MS. BONNIE LOU CLARK (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1831472133 for MS. BONNIE LOU CLARK (PMHNP-BC).
Should I treat MS. BONNIE LOU CLARK (PMHNP-BC) as an active provider?
Patients and plans typically see MS. BONNIE LOU CLARK (PMHNP-BC) as active in the national extract.
What type of care does MS. BONNIE LOU CLARK (PMHNP-BC) provide?
MS. BONNIE LOU CLARK (PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. BONNIE LOU CLARK (PMHNP-BC)?
The directory associates MS. BONNIE LOU CLARK (PMHNP-BC) with Sellersburg, Indiana. Check all listed addresses for suites or satellite offices.
Can I export MS. BONNIE LOU CLARK (PMHNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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