KIMBERLY TENITA CLARK (CNP) – Nurse Practitioner, NPI 1578752267
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for KIMBERLY TENITA CLARK (CNP)
3500, Carnegie Avenue, Midtown, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44115, United States
CLEVELAND, OH 441152641
Phone: (440) 260-8900
Fax: (440) 260-8576
Type: Mailing
202, East Bagley Road, Berea, Cuyahoga County, Ohio, 44017, United States
BEREA, OH 440172058
Phone: (440) 260-8327
Fax: (440) 260-8305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 291 Open Payments records for all available years, with a total value of $8,445.
Total Amount is formed as General ($8,445) + Research ($0) + Ownership ($0) = $8,445.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($2,848).
Total Amount
$8,445
General + Research + Ownership
Payments
291
Total payment records
General Amount
$8,445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $2,848 |
| Alkermes, Inc. | $973 |
| ABBVIE INC. | $849 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $554 |
| Teva Pharmaceuticals USA, Inc. | $401 |
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: 2013-01-09
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 |
|---|---|---|---|---|
| I20130109000235 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OH |
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