LAURA CLARK (FNP) – Family Nurse Practitioner, NPI 1619488855

LAURA CLARK (FNP) is a healthcare provider. based in Mountain view, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2015028255 (MO). The NPI Number for LAURA CLARK (FNP) is 1619488855

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LAURA CLARK (FNP)
NPI
1619488855
Phone
(417) 934-2251
Address
104 E US HIGHWAY 60
Enumeration Date
16 October 2017
Last Update Date
16 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
5698041614
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20171019000337
Address ID
MO654012980RO1605XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for LAURA CLARK (FNP)

  • US Highway 60, Canyon, Randall County, Texas, 79091, United States

    MOUNTAIN VIEW, MO 655487381

    Phone: (417) 934-2251

    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 7 Open Payments records for all available years, with a total value of $1,046.

Total Amount is formed as General ($1,046) + Research ($0) + Ownership ($0) = $1,046.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($943).

Total Amount

$1,046

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,046

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$943
ABIOMED$103
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: 2017-10-19

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
I20171019000337INurse 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
81003Automated urinalysis test1717$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 65548)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What is LAURA CLARK (FNP)'s NPI number?
LAURA CLARK (FNP)'s NPI is 1619488855 — the number used across U.S. healthcare to identify this provider.
Is LAURA CLARK (FNP) still an active registrant?
LAURA CLARK (FNP) carries an active NPI according to the public dataset.
What area of care is associated with LAURA CLARK (FNP)?
LAURA CLARK (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURA CLARK (FNP)?
Directory geography for LAURA CLARK (FNP) centers on Mountain View, Missouri.
Can I trust this NPI listing for LAURA CLARK (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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