MORANDA CLARK (FNP-C) – Family Nurse Practitioner, NPI 1235902545
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MORANDA CLARK (FNP-C)
5350 Independence Pkwy Ste 100
Frisco, TX 750354653
Phone: (972) 253-4370
Type: Location
1041 BLACK ST
HURST, TX 760534122
Phone: (214) 766-7083
Type: Mailing
2021 N MACARTHUR BLVD STE 225
IRVING, TX 750612219
Phone: (972) 253-4370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ABBVIE INC. ($45).
Total Amount
$83
General + Research + Ownership
Payments
4
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $45 |
| Aurinia Pharma U.S., Inc. | $21 |
| Boston Scientific Corporation | $17 |
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: 2024-09-12
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 |
|---|---|---|---|---|
| I20240912003379 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Allergy/Immunology | TX |
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