Phillip Clark, DNP
NPI 1629471412 · Family Nurse Practitioner · Creve Coeur, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Clark, DNP is a Family Nurse Practitioner provider in Creve Coeur, MO (NPI 1629471412).
Provider details
- NPI number
- 1629471412
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP 7468 (AZ)
Specialties & taxonomies
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 tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Omeprazole | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (3)
- 2501 N Stockton Hill Rd Ste 108Kingman, AZ 86401-4140Phone: (928) 255-5050Fax: (888) 571-5897
- 150 E. Tyson RdQuartzsite, AZ 85359-4618Phone: (928) 927-8749Fax: (928) 927-8748
- 3100 Oak Grove RdPoplar Bluff, MO 63901-1573Phone: (573) 776-9290Fax: (659) 235-6176
Registry dates
- Enumerated
- 2014-10-07
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Phillip Clark's NPI number?
- Phillip Clark's National Provider Identifier (NPI) is 1629471412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Clark's specialty?
- Phillip Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Phillip Clark located?
- Phillip Clark's practice location on file with NPPES is 11560 Olive Blvd, Creve Coeur, MO 63141-7111.
- What is Phillip Clark's phone number?
- The practice phone number listed in the NPPES registry for Phillip Clark is (314) 995-7128.
- Does Phillip Clark accept Medicare?
- Phillip Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Clark's NPI active?
- Yes — Phillip Clark's NPI (1629471412) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.