Doctor profile · Federal record
Dr. Kelly Clark, FNP
Nurse Practitioner · Saint Louis, MO
- NPI 1861026650
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4590 Childrens Pl
Saint Louis, MO 631101020
(314) 747-5000
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Missouri #2018011505
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861026650. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$59
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, INC. | 2 | $37.15 | |
| Abbvie INC. | 1 | $21.96 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Clark's medical specialty?
Dr. Kelly Clark practices Nurse Practitioner in Saint Louis, MO.
Where does Dr. Kelly Clark practice?
Dr. Kelly Clark practices at 4590 Childrens Pl, Saint Louis, MO 631101020. Office phone: 3147475000.
What is Dr. Kelly Clark's NPI?
Dr. Kelly Clark's National Provider Identifier (NPI) is 1861026650, issued by NPPES.
Does Dr. Kelly Clark accept Medicare assignment?
Yes. Dr. Kelly Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.