Kolu Baysah Clark, DNP
NPI 1336535624 · Gerontology Nurse Practitioner · Warwick, RI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kolu Baysah Clark, DNP is a Gerontology Nurse Practitioner provider in Warwick, RI (NPI 1336535624).
Provider details
- NPI number
- 1336535624
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- License
- APRN00086 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
12 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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 does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 12 | $110 |
Typical Medicare-allowed amounts for these services range $110–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 1 Harvard RdShirley, MA 01464-2434Phone: (978) 425-4341
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (508) 334-8515Fax: (508) 334-6490
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 793-9166Fax: (401) 444-2788
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is Kolu Baysah Clark's NPI number?
- Kolu Baysah Clark's National Provider Identifier (NPI) is 1336535624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kolu Baysah Clark's specialty?
- Kolu Baysah Clark is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kolu Baysah Clark located?
- Kolu Baysah Clark's practice location on file with NPPES is 455 Toll Gate Rd, Warwick, RI 02886-2759.
- What is Kolu Baysah Clark's phone number?
- The practice phone number listed in the NPPES registry for Kolu Baysah Clark is (401) 737-7010.
- Does Kolu Baysah Clark accept Medicare?
- Kolu Baysah Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kolu Baysah Clark's NPI active?
- Yes — Kolu Baysah Clark's NPI (1336535624) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.