CHARLES NICHOLSON CLARK (FNP) – Family Nurse Practitioner, NPI 1013485713
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
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Provider Addresses for CHARLES NICHOLSON CLARK (FNP)
Bandera Highway, Kerrville, Kerr County, Texas, 78028, United States
KERRVILLE, TX 780289535
Phone: (830) 258-7762
Type: Location
Hill Country Drive, Kerrville, Kerr County, Texas, 78028, United States
KERRVILLE, TX 780286024
Phone: (830) 258-7762
Type: Mailing
575 HILL COUNTRY DR STE 301
KERRVILLE, TX 780286024
Phone: (830) 258-7762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,893.
Total Amount is formed as General ($1,893) + Research ($0) + Ownership ($0) = $1,893.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($397).
Total Amount
$1,893
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,893
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-12-18
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 |
|---|---|---|---|---|
| I20181218000833 | I | Nurse Practitioner | TX | 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 | 607 | 409 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 95 | 86 | $0 |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 28 | 27 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 24 | 22 | $0 |
| 93246 | Heart rhythm recording of continous external ekg over 8-15 days | 21 | 19 | $0 |
Insurance plans in this area (ZIP 78028)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| Internal Medicine, Geriatric Medicine | KS | |
| Internal Medicine, Gastroenterology | TX | |
| Physician Assistant | TX | |
| Diagnostic Radiology | MO |
Reviews
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