MRS. JULIE E CLARK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386669612

MRS. JULIE E CLARK (CRNA) is a healthcare provider. based in North kansas city, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 110806 (MO). The NPI Number for MRS. JULIE E CLARK (CRNA) is 1386669612

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JULIE E CLARK (CRNA)
NPI
1386669612
Phone
(816) 691-2021
Address
2700 Clay Edwards Dr Ste 240
Enumeration Date
13 July 2006
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166912021
Graduation Year
1999 (27 years ago)
PAC ID
8628042421
Group Practice PAC ID
6305748153
Professional Enrollment ID
I20040825001220
Address ID
MO641163254NO2700XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for MRS. JULIE E CLARK (CRNA)

  • 2700 Clay Edwards Dr Ste 240

    North Kansas City, MO 641163254

    Phone: (816) 691-2021

    Fax: (816) 346-7690

    Type: Location

  • 1900 SWIFT AVE

    SUITE 203

    NORTH KANSAS CITY, MO 641163445

    Phone: (816) 221-5050

    Fax: (816) 471-1247

    Type: Mailing

  • North Kansas City Hospital, 2800, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States

    NORTH KANSAS CITY, MO 641163220

    Phone: (816) 691-1765

    Fax: (816) 471-1247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Stemline Therapeutics Inc. ($57).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

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: 2021-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040825001220ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20100512000171ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20200429000800ICertified Registered Nurse Anesthetist (Crna)INTBD
I20210921001704ICertified Registered Nurse Anesthetist (Crna)IATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64116)

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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: 6305748153View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMO
-MO
-MO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerDE
General SurgeryMO
N E U R O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

What identifier follows MRS. JULIE E CLARK (CRNA) across health systems?
The NPI 1386669612 uniquely identifies MRS. JULIE E CLARK (CRNA) in U.S. healthcare data.
Is MRS. JULIE E CLARK (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MRS. JULIE E CLARK (CRNA) as active.
Which specialty label fits MRS. JULIE E CLARK (CRNA)?
NPPES ties MRS. JULIE E CLARK (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MRS. JULIE E CLARK (CRNA) tied to North Kansas City, Missouri?
If you are local to North Kansas City, Missouri, MRS. JULIE E CLARK (CRNA) may be relevant to your search.
Why is information missing for MRS. JULIE E CLARK (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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