Crystal Lea Clark, APRN-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-77518-082 Issued in KS

Practice address

1700 SW 7TH St
Topeka, KS 66606-2489

Phone

(785) 295-8000

Fax

(785) 295-5483

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Topeka Physician Group LLC 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
• Holton Community Hospital Hospital, Holton, KS, CCN 171319
• LMH Hospital, Lawrence, KS, CCN 170137
• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cclark191260@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Topeka Physician Group, LLC

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1770008849

  KS

  Medicare reassignment Care Compare group NPD
• Topeka Physician Group, LLC

  • Rural Health Clinic/Center
  • Valley Falls, KS
  • NPI 1902395262
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422

  Hospital

  Care Compare affiliation
• Rural Health Resources of Jackson Co Inc

  • Critical Access Hospital
  • Holton, KS
  • NPI 1902805716

  Hospital

  Care Compare affiliation
• Stormont-Vail Healthcare Inc

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409

  Hospital

  Care Compare affiliation
• Topeka Hospital, LLC

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1013452879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111200",
            "telephone_number": "785-379-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062489",
            "telephone_number": "785-295-8000",
            "fax_number": "785-295-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CRYSTAL",
        "middle_name": "LEA",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77518-082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77518-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence M. Kelley Detention Services of Topeka, LLC
• Clarence M. Kelley Detention Services, Inc.
• Clarity & Connection LLC
• Michelle Rae Clark-Galvan, APRN, DNP-FNP
• Bethany Anne Clark
• Jaquita B Clark
• Jeffrey B Clark, DDS
• Kathryn M Clark
• Savannah Jewel Clark
• McShell Clarke

• All providers in Topeka, KS
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.