Kelly Ann Clark
Family Nurse Practitioner · Bethany, MO
Kelly Ann Clark is a family nurse practitioner with a practice address in Bethany, Missouri, and NPI 1164062972, issued on Jan 9, 2020. Check the license (Missouri 2020000768, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Ann Clark
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 2020000768 MO
Self-reported in NPPES; status is on the state search - Practice location
- 3202 Miller St, Bethany, MO 64424
- Phone
- (660) 425-3154
- Enumerated
- Jan 9, 2020
- Record last updated
- Mar 18, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (660) 425-6663
- Medicare enrollment
- Enrolled (PECOS I20200309000271); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 5,226 in Missouri → Look up another NPI →
Also registered at 3202 Miller St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Deanna Dinwiddie, LMSWSocial Worker1649982570
- Ashley HardingFamily Nurse Practitioner1649660812
- Amy HarrisFamily Nurse Practitioner1548385735
Verify Kelly Ann Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2020000768Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26% fewer Medicare Part D claims than the average family nurse practitioner in 2024
960 Medicare Part D claims for 240 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D.
Most prescribed
- Methylprednisolone82 claims
- Amoxicillin-Clavulanate Potass38 claims
- Omeprazole34 claims
- Doxycycline Hyclate32 claims
- Azithromycin31 claims
- Pantoprazole Sodium29 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $275.17
15 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Harrison County Community Hospital DistrictBethany, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Ann Clark among 5,226 family nurse practitioner records in Missouri
Kelly Ann Clark is one of 5,226 family nurse practitioner records with a practice address in Missouri. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 66% of them.
- NPI issued2020 · 66% of these records are older, 28% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2019 · median 2018 among the 3,339 with a school on file
- Record last updated2021 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 family nurse practitioner records list a practice address in Bethany
They are 6 of the 57 NPPES records with a practice address in Bethany, and 5,226 family nurse practitioner records in Missouri.
All 5,226 in Missouri → Every provider in Bethany → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Travis Brown, FNP-CBethany, MO 644241306250279
- Ashley HardingBethany, MO 644241649660812
- Amy HarrisBethany, MO 644241548385735
- Ashley Huffman, FNP-CBethany, MO 644241700719366
- Cephas Paniamogan, FNP-CBethany, MO 644241053601716
- Cristi Campbell, FNPCameron, MO 644291326196767
- Charles Chatfield, NP-CCameron, MO 644291548238330
- Cassi Deskins, FNPCCameron, MO 644291225388671
Common questions
What is Kelly Ann Clark's NPI number?
Kelly Ann Clark's National Provider Identifier (NPI) is 1164062972, issued on Jan 9, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Ann Clark located?
The NPPES record lists a practice address at 3202 Miller St, Bethany, MO, 64424. Phone: (660) 425-3154. Providers update this record themselves, so call before visiting.
How can I verify Kelly Ann Clark's license?
NPPES lists Missouri license number 2020000768, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
How much does Kelly Ann Clark prescribe under Medicare Part D?
In 2024, Kelly Ann Clark had 960 Medicare Part D claims for 240 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.