GINA K CLARK (ARNP) – Nurse Practitioner, NPI 1124101332
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
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Provider Addresses for GINA K CLARK (ARNP)
201, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011759
Phone: (270) 780-2497
Fax: (270) 783-3750
Type: Mailing
Wilkinson Trace, Eastland Park, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 421033404
Phone: (270) 781-4043
Fax: (270) 781-4196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,092.
Total Amount is formed as General ($2,092) + Research ($0) + Ownership ($0) = $2,092.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($496).
Total Amount
$2,092
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,092
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $496 |
| Novartis Pharmaceuticals Corporation | $196 |
| PFIZER INC. | $147 |
| Novo Nordisk Inc | $128 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $100 |
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: 2007-03-21
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 |
|---|---|---|---|---|
| I20070321000552 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 293 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 103 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 190 | 190 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 118 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 63 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Family Practice | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| - | KY | |
| - | KY |
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