Kellyann T. Clark, NP
Adult Health Nurse Practitioner · Falls Church, VA
Kellyann T. Clark, NP is an adult health nurse practitioner with a practice address in Falls Church, Virginia, and NPI 1811249378, issued on Oct 9, 2012. Check the license (Virginia 0024170317, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kellyann T. Clark
- Credential
- NP
- Primary taxonomy
- Adult Health Nurse Practitioner 363LA2200X
- License number
- 0024170317 VA
Self-reported in NPPES; status is on the state search - Practice location
- 3300 Gallows RD, Falls Church, VA 22042
- Phone
- (703) 776-3359
- Enumerated
- Oct 9, 2012
- Record last updated
- Jan 27, 2022
- Fax
- (703) 776-2338
- Medicare enrollment
- Enrolled (PECOS I20140904001924); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest adult health nurse practitioner records → All 582 in Virginia → Look up another NPI →
Also registered at 3300 Gallows RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kellyann T. Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0024170317Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Intensive Care Consortium IncReston, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kellyann T. Clark among 582 adult health nurse practitioner records in Virginia
Kellyann T. Clark, NP is one of 582 adult health nurse practitioner records with a practice address in Virginia. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 53% of them.
- NPI issued2012 · 53% of these records are older, 42% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 47% of these records are
- Graduated2012 · median 2014 among the 272 with a school on file
- Record last updated2022 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Health Nurse Practitioner providers in Virginia
There are 582 adult health nurse practitioner records in Virginia.
All 582 in Virginia → Every provider in Falls Church → Adult Health Nurse Practitioner nationwide →
The 8 adult health nurse practitioner records with the nearest ZIP codes
- Rhoda Amante, NPFalls Church, VA 220421447614375
- Deirdre Carolan, CRNP, PH.D.Falls Church, VA 220421467659698
- Pamela CrippenFalls Church, VA 220421063481406
- Sherylbeb Garcia, DNP, A-GNPFalls Church, VA 220421033528260
- Kristine Kirkpatrick, NPFalls Church, VA 220421568502946
- Susan Loman, N.P.Falls Church, VA 220421194784843
- Mary Maydosz, CRNPFalls Church, VA 220421891881314
- Kathleen Passafaro, N.P.Falls Church, VA 220421598136871
Common questions
What is Kellyann T. Clark, NP's NPI number?
Kellyann T. Clark, NP's National Provider Identifier (NPI) is 1811249378, issued on Oct 9, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Kellyann T. Clark, NP located?
The NPPES record lists a practice address at 3300 Gallows RD, Falls Church, VA, 22042. Phone: (703) 776-3359. Providers update this record themselves, so call before visiting.
How can I verify Kellyann T. Clark, NP's license?
NPPES lists Virginia license number 0024170317, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity 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.