KIMBERLEY AMBER CLARK (FNP-C) – Nurse Practitioner, NPI 1043872864
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIMBERLEY AMBER CLARK (FNP-C)
830, Schenley Avenue, East New Castle, Shenango Township, Lawrence County, Pennsylvania, 16101, United States
NEW CASTLE, PA 161015353
Phone: (724) 730-3212
Type: Mailing
200, Market Street, Downtown, Youngstown, Mahoning County, Ohio, 44503, United States
YOUNGSTOWN, OH 445126082
Phone: (330) 965-4540
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($99).
Total Amount
$178
General + Research + Ownership
Payments
5
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $99 |
| Noven Therapeutics, LLC | $34 |
| Otsuka America Pharmaceutical, Inc. | $26 |
| Neurocrine BioSciences Inc. | $19 |
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: 2022-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190806002917 | I | Nurse Practitioner | OH | TBD |
| I20220824003325 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 23 | 18 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 16101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | PA | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| General Surgery | OH |
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