Kelsey Clark, CRNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: October 9, 2020

Quick Facts

NPI Number
1063010312
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(256) 444-6210
StateAL

NPI Validation Status: Verified

Valid 10-digit NPI number (1063010312)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 9, 2020)
Data source: CMS NPPES

Provider Overview

KELSEY CLARK, CRNP is a Nurse Practitioner provider based in Moulton, AL who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063010312
Provider TypeIndividual Provider
GenderFemale
CredentialCRNP
StatusActive
Enumeration DateOctober 9, 2020

Practice Location

CityMoulton
StateAL
ZIP Code35650-1063
Phone(256) 444-6210

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateAL

Mailing Address

CityMoulton
StateAL
ZIP Code35650-1063
Phone(256) 444-6210
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063010312 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1063010312for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1063010312 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
224,221
Nurse Practitioner Providers in the US

Similar Providers in Moulton

Kari Kirby, CRNP

📍 Moulton, AL 35650-1256

Wyndie White, CRNP

📍 Moulton, AL 35650-1900

Misti Brown, CRNP

📍 Moulton, AL 35650-1900

Whitney Martin, CRNP

📍 Moulton, AL 35650-1900

Jessica Sharp, CRNP

📍 Moulton, AL 35650-1900

Kristen Anderson, FNP-C

📍 Moulton, AL 35650-1914

Other Healthcare Providers in Moulton

Shady Oak Nursing And Rehabilitation, Llc

Specialty not listed

Samuel Gillespie, MD

Community Health Worker

Attentus Moulton, Llc

General Acute Care Hospital

Wagner Medical Clinic L.l.p.

Physician Assistant

Lawrence County Emergency Medical Services, Inc.

Specialty not listed

Charles Mcgahey, MD

Internal Medicine

People Also Ask

What is Kelsey Clark's NPI number?
Kelsey Clark's NPI number is 1063010312, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelsey Clark's NPI currently active?
Yes, Kelsey Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelsey Clark specialize in?
Kelsey Clark specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Kelsey Clark practice?
Kelsey Clark practices in Moulton, AL 35650-1063.
When was Kelsey Clark's NPI issued?
Kelsey Clark's NPI was issued on October 9, 2020.
What is Kelsey Clark's provider type?
Kelsey Clark is registered as an Individual Provider under CMS NPI Type 1.