Timetra Clark, FNP-BC
NPI 1316687650 · Family Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timetra Clark, FNP-BC is a Family Nurse Practitioner provider in Chicago, IL (NPI 1316687650).
Provider details
- NPI number
- 1316687650
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041436444 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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)
- 11026 Pony GateSan Antonio, TX 78254-5999Phone: (847) 616-0269
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Frequently asked questions
- What is Timetra Clark's NPI number?
- Timetra Clark's National Provider Identifier (NPI) is 1316687650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timetra Clark's specialty?
- Timetra Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timetra Clark located?
- Timetra Clark's practice location on file with NPPES is 1401 E 55th St Apt 905n, Chicago, IL 60615-5468.
- What is Timetra Clark's phone number?
- The practice phone number listed in the NPPES registry for Timetra Clark is (708) 759-3112.
- Does Timetra Clark accept Medicare?
- Timetra Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timetra Clark's NPI active?
- Yes — Timetra Clark's NPI (1316687650) is active in the NPPES registry as of the last update on 2022-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.