KRISTAL D CLARK (CNP) – Family Nurse Practitioner, NPI 1295184570
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KRISTAL D CLARK (CNP)
9775 COLERAIN AVE
CINCINNATI, OH 452511442
Phone: (513) 853-9700
Fax: (513) 852-8969
Type: Mailing
415, East Stoneridge Drive, Milford, Clermont County, Ohio, 45150, United States
MILFORD, OH 451505037
Phone: (513) 607-9406
Type: Mailing
1064 State Route 28 Unit F
Milford, OH 451504940
Phone: (513) 981-4050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $571.
Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($247).
Total Amount
$571
General + Research + Ownership
Payments
6
Total payment records
General Amount
$571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $247 |
| GlaxoSmithKline, LLC. | $220 |
| Gilead Sciences, Inc. | $104 |
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: 2016-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161206002288 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 81002 | Urinalysis, manual test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | OH | |
| - | PA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | KY | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA |
Reviews
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