YVONNE Y. CLARK (CNP) – Nurse Practitioner, NPI 1710963657
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 YVONNE Y. CLARK (CNP)
Pain Evaluation and Management Center, 1550, Yankee Park Place, Centerville, Washington Township, Montgomery County, Ohio, 45458, United States
STE A
CENTERVILLE, OH 454581838
Phone: (937) 439-4949
Fax: (937) 439-4948
Type: Location
1550 Yankee Park Pl
Ste A
Centerville, OH 454581838
Phone: (937) 439-4949
Fax: (937) 439-4948
Type: Location
6300 N MAIN ST
DAYTON, OH 454153154
Phone: (937) 275-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 152 Open Payments records for all available years, with a total value of $4,419.
Total Amount is formed as General ($4,419) + Research ($0) + Ownership ($0) = $4,419.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($730).
Total Amount
$4,419
General + Research + Ownership
Payments
152
Total payment records
General Amount
$4,419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $730 |
| Teva Pharmaceuticals USA, Inc. | $648 |
| Otsuka America Pharmaceutical, Inc. | $565 |
| Axsome Therapeutics, Inc. | $395 |
| Alkermes, Inc. | $358 |
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: 2004-10-27
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 |
|---|---|---|---|---|
| I20041027001321 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 229 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 45458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OH | |
| - | OH |
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