LAURIE BETH CLARK (CNP) – Acute Care Nurse Practitioner, NPI 1407490246

LAURIE BETH CLARK (CNP) is a healthcare provider. based in Independence, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 2019042366 (MO). The NPI Number for LAURIE BETH CLARK (CNP) is 1407490246

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE BETH CLARK (CNP)
NPI
1407490246
Phone
(816) 337-2192
Address
17009 E CHEYENNE DR
Enumeration Date
5 November 2019
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162764000
Graduation Year
2019 (7 years ago)
PAC ID
2668899865
Group Practice PAC ID
0345787578
Professional Enrollment ID
I20200902002701
Address ID
MO641321136KA2316XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for LAURIE BETH CLARK (CNP)

  • 17009 E CHEYENNE DR

    INDEPENDENCE, MO 640561516

    Phone: (816) 337-2192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($47).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

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: 2020-09-02

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
I20200902002701INurse PractitionerMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 64056)

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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: 0345787578View full group profile
NameSpecialtyState
Family Practice, HospitalistMO
Internal MedicineIA
Physician AssistantMO
Internal MedicineMO
Nephrology, Internal Medicine, NephrologyMO
Hospitalist, Internal Medicine, HospitalistSC
Internal Medicine, Hospitalist, Internal MedicineVA
Internal MedicineMO
H O S P I T A L I S TMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find LAURIE BETH CLARK (CNP)'s NPI?
You can confirm LAURIE BETH CLARK (CNP) with NPI 1407490246; it appears in the national provider directory.
Is LAURIE BETH CLARK (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LAURIE BETH CLARK (CNP) treat or focus on?
Patients typically see LAURIE BETH CLARK (CNP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LAURIE BETH CLARK (CNP)?
We surface Independence, Missouri for LAURIE BETH CLARK (CNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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