TERRI JO CLARK (NP) – Family Nurse Practitioner, NPI 1770035966

TERRI JO CLARK (NP) is a healthcare provider. based in Lumberton, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP132041 (TX). The NPI Number for TERRI JO CLARK (NP) is 1770035966

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TERRI JO CLARK (NP)
NPI
1770035966
Phone
(409) 813-1677
Address
288 COUNTRY LANE DR
Enumeration Date
4 November 2016
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
2016 (10 years ago)
PAC ID
8527340637
Group Practice PAC ID
7810299187
Professional Enrollment ID
I20170126000046
Address ID
TX775042112PA4006XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for TERRI JO CLARK (NP)

  • 288, Country Lane Drive, Lumberton, Hardin County, Texas, 77657, United States

    LUMBERTON, TX 776576804

    Phone: (409) 813-1677

    Fax: (409) 813-2710

    Type: Mailing

  • 2353, North Main Street, Vidor, Orange County, Texas, 77662, United States

    VIDOR, TX 776622610

    Phone: (409) 813-1677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-09-21 • Largest payer in this snapshot: ABBVIE INC. ($149).

Total Amount

$344

General + Research + Ownership

Payments

9

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170126000046INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4,262158$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes558137$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6561$0
View full utilization report →

Insurance plans in this area (ZIP 77657)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810299187View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to TERRI JO CLARK (NP)?
The federal identifier for TERRI JO CLARK (NP) is NPI 1770035966.
Is TERRI JO CLARK (NP) active in the national directory?
TERRI JO CLARK (NP)'s public NPI profile is in an active state.
Can you summarize TERRI JO CLARK (NP)'s specialty in plain language?
Clinically, the directory lists TERRI JO CLARK (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TERRI JO CLARK (NP)'s primary listing?
We display Lumberton, Texas because that is what the record indicates for TERRI JO CLARK (NP).
How can I contact TERRI JO CLARK (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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