KELLY ANNE CLARK (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083450084

KELLY ANNE CLARK (PMHNP-BC) is a healthcare provider. based in Maineville, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. APRN.CNP.0036958 (OH). The NPI Number for KELLY ANNE CLARK (PMHNP-BC) is 1083450084

Main info

Female
Sole Proprietor
Name
KELLY ANNE CLARK (PMHNP-BC)
NPI
1083450084
Phone
(513) 505-0588
Address
7916 CARRAWAY CT
Enumeration Date
8 July 2024
Last Update Date
8 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

Provider Addresses for KELLY ANNE CLARK (PMHNP-BC)

  • 7916 CARRAWAY CT

    MAINEVILLE, OH 450398994

    Phone: (513) 505-0588

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45039)

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Frequently asked questions

What unique ID ties claims to KELLY ANNE CLARK (PMHNP-BC)?
NPI 1083450084 is assigned to KELLY ANNE CLARK (PMHNP-BC) under the national enumeration system.
Is KELLY ANNE CLARK (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KELLY ANNE CLARK (PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists KELLY ANNE CLARK (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY ANNE CLARK (PMHNP-BC)?
The page summarizes Maineville, Ohio for KELLY ANNE CLARK (PMHNP-BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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