Kelly Clark
NPI 1164062972 · Family Nurse Practitioner · Bethany, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Clark is a Family Nurse Practitioner provider in Bethany, MO (NPI 1164062972).
Provider details
- NPI number
- 1164062972
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2020000768 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
6 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 82 | 72 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 38 | 37 |
| Omeprazole | 34 | 14 |
| Doxycycline Hyclate | 32 | 27 |
| Azithromycin | 31 | 28 |
| Pantoprazole Sodium | 29 | 15 |
| Levothyroxine Sodium | 26 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$275 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1164062972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Clark's specialty?
- Kelly Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 3202 Miller St, Bethany, MO 64424-2713.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (660) 425-3154.
- Does Kelly Clark accept Medicare?
- Kelly Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1164062972) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.