LYREVA J CLARK (RNFNP-C) – Family Nurse Practitioner, NPI 1548246747
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LYREVA J CLARK (RNFNP-C)
400, South Center Street, Shelbina, Shelby County, Missouri, 63468, United States
SHELBINA, MO 634681404
Phone: (573) 588-4131
Fax: (573) 588-4876
Type: Location
400 S Center St
Shelbina, MO 634681404
Phone: (573) 588-4131
Fax: (573) 588-4876
Type: Location
3650 Stardust Dr
Hannibal, MO 634012411
Phone: (573) 231-0660
Type: Location
551, County Route 3, Fairdale, Fulton, Town of Hannibal, Oswego County, New York, 13069, United States
HANNIBAL, MO 634010551
Phone: (573) 588-4134
Fax: (573) 588-4876
Type: Mailing
6500 HOSPITAL DR
HANNIBAL, MO 634016890
Phone: (573) 629-3400
Type: Location
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 $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 40 | $0 |
Insurance plans in this area (ZIP 63468)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Nephrology, Internal Medicine, Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| P A T H O L O G Y | MO | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO |
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