Kristin Clark, MD
NPI 1164764585 · Anesthesiology Physician · Plymouth, MN
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Clark, MD is a Anesthesiology Physician provider in Plymouth, MN (NPI 1164764585).
Provider details
- NPI number
- 1164764585
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 8701 W Watertown Plank RdMilwaukee, WI 53226-3548Phone: (414) 955-4575
Registry dates
- Enumerated
- 2013-03-24
- Last updated
- 2018-09-26
Frequently asked questions
- What is Kristin Clark's NPI number?
- Kristin Clark's National Provider Identifier (NPI) is 1164764585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Clark's specialty?
- Kristin Clark is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristin Clark located?
- Kristin Clark's practice location on file with NPPES is 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876.
- What is Kristin Clark's phone number?
- The practice phone number listed in the NPPES registry for Kristin Clark is (763) 559-3779.
- Does Kristin Clark accept Medicare?
- Kristin Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Clark's NPI active?
- Yes — Kristin Clark's NPI (1164764585) is active in the NPPES registry as of the last update on 2018-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.