CHRISTINA CLARK (PAC) – Physician Assistant, NPI 1679656953

CHRISTINA CLARK (PAC) is a healthcare provider. based in Harrodsburg, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA482 (KY). The NPI Number for CHRISTINA CLARK (PAC) is 1679656953

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA CLARK (PAC)
NPI
1679656953
Phone
(859) 239-2379
Address
1509 LOUISVILLE RD
Enumeration Date
23 October 2006
Last Update Date
2 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
8022162163
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20180925002783
Address ID
KY402074681LO3900XWAYX300

Contacts

Secure Messaging
cclark93278@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for CHRISTINA CLARK (PAC)

  • 1509, Louisville Road, Harrodsburg, Mercer County, Kentucky, 40330, United States

    HARRODSBURG, KY 403308622

    Phone: (859) 239-2379

    Fax: (859) 239-6898

    Type: Location

  • PO BOX 990

    DANVILLE, KY 404230990

    Phone: (859) 239-2379

    Fax: (859) 239-6898

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-09-25

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
I20180925002783IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes275262$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza6868$0
81003Automated urinalysis test6358$0
99214Established patient office or other outpatient visit, 30-39 minutes5453$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 40330)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

How do payers reference CHRISTINA CLARK (PAC)?
For CHRISTINA CLARK (PAC), use NPI 1679656953 as the unique 10-digit identifier.
Active or inactive — what applies to CHRISTINA CLARK (PAC)?
You should see CHRISTINA CLARK (PAC) as active in CMS-hosted NPPES data.
How would a patient describe CHRISTINA CLARK (PAC)'s focus?
For CHRISTINA CLARK (PAC), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHRISTINA CLARK (PAC) associated with Harrodsburg?
Public fields place CHRISTINA CLARK (PAC) around Harrodsburg, Kentucky. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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