Channel Clark, PMHNP-BC
NPI 1477374874 · Psychiatric/Mental Health Nurse Practitioner · Lees Summit, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Channel Clark, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Lees Summit, MO (NPI 1477374874).
Provider details
- NPI number
- 1477374874
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2004022119 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Channel Clark's NPI number?
- Channel Clark's National Provider Identifier (NPI) is 1477374874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Channel Clark's specialty?
- Channel Clark is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Channel Clark located?
- Channel Clark's practice location on file with NPPES is 237 Nw Kessler Dr Apt 307, Lees Summit, MO 64081-4173.
- What is Channel Clark's phone number?
- The practice phone number listed in the NPPES registry for Channel Clark is (816) 289-1223.
- Does Channel Clark accept Medicare?
- Channel Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Channel Clark's NPI active?
- Yes — Channel Clark's NPI (1477374874) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.