KIMBERLY SUE CLARK (FNP-BC) – Family Nurse Practitioner, NPI 1386942837
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,161 NURSE PRACTITIONER in MI
Provider Addresses for KIMBERLY SUE CLARK (FNP-BC)
8881 M 119
HARBOR SPRINGS, MI 497409586
Phone: (231) 347-5400
Fax: (231) 348-2515
Type: Mailing
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $308.
Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($172).
Total Amount
$308
General + Research + Ownership
Payments
16
Total payment records
General Amount
$308
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $172 |
| Axsome Therapeutics, Inc. | $30 |
| Novo Nordisk Inc | $30 |
| Exact Sciences Corporation | $18 |
| AstraZeneca Pharmaceuticals LP | $18 |
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: 2014-03-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20140317000852 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 229 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 117 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 78 | 78 | $0 |
| 83036 | Hemoglobin a1c level | 68 | 40 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
Insurance plans in this area (ZIP 49740)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
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