Doctor profile · Federal record
Dr. Kolu Baysah Clark, DNP
Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Nurse Practitioner · Primary Care Nurse Practitioner · Primary Care Nurse Practitioner · Warwick, RI
- NPI 1336535624
- Accepts Medicare
- 9 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
455 Toll Gate RD
Warwick, RI 028862759
(401) 737-7010 - Additional location
-
1 Harvard RD
Shirley, MA 014642434
(978) 425-4341 - Additional location
-
55 Lake Ave N
Worcester, MA 016550002
(508) 334-8515
fax (508) 334-6490 - Mailing address
-
455 Tollgate RD, Professional Revenue Cycle and Credentialing
Warwick, RI 028862759
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- December 21, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363LG0600X — NUCC code
- State licenses (2)
- Rhode Island #APRN00086 · Massachusetts #RN2269378
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336535624. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$1,883
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $145 |
In context: peer comparison
Among 2 peers in Warwick Gerontology Nurse Practitioner, average services per provider: 170. This provider delivers 0.1× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kolu Baysah Clark's medical specialty?
Dr. Kolu Baysah Clark practices Gerontology Nurse Practitioner in Warwick, RI.
Where does Dr. Kolu Baysah Clark practice?
Dr. Kolu Baysah Clark practices at 455 Toll Gate RD, Warwick, RI 028862759. Office phone: 4017377010.
What is Dr. Kolu Baysah Clark's NPI?
Dr. Kolu Baysah Clark's National Provider Identifier (NPI) is 1336535624, issued by NPPES.
Does Dr. Kolu Baysah Clark accept Medicare assignment?
Yes. Dr. Kolu Baysah Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kolu Baysah Clark commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.