Pamela Dawn Clark, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115720 Issued in TX

Practice address

3349 S Highway 181 Ste 3
Kenedy, TX 78119-5268

Phone

(830) 583-9355

Fax

(830) 583-9335

NPI assigned

Apr 2, 2007

Last updated

Jun 1, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karnes County Hospital DistrictGroup PAC ID 5496740201, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Otto Kaiser Memorial Hospital Hospital, Kenedy, TX, CCN 451364
• Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Karnes County Hospital District

  dba Otto Kaiser Memorial Hospital

  • Critical Access Hospital
  • Kenedy, TX
  • NPI 1699772541
  Medicare reassignment Care Compare group NPD
• Karnes County Hospital District

  dba Kaiser Family Practice

  • Family Medicine Physician
  • Kenedy, TX
  • NPI 1215495163
  Medicare reassignment
• Karnes County Hospital District

  dba Kaiser Orthopedic

  • Orthopaedic Surgery Physician
  • Kenedy, TX
  • NPI 1639924608
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Karnes County Hospital District

  dba Otto Kaiser Memorial Hospital

  • Critical Access Hospital
  • Kenedy, TX
  • NPI 1699772541
  Care Compare affiliation
• Wilson County Memorial Hospital District

  • General Acute Care Hospital
  • Floresville, TX
  • NPI 1871599829
  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1306967187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 S HIGHWAY 181 STE 3",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781195268",
            "telephone_number": "830-583-9355",
            "fax_number": "830-583-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 S HIGHWAY 181 STE 3",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781195268",
            "telephone_number": "830-583-9355",
            "fax_number": "830-583-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAMELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "678694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206717501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooks M Mullen, MD PA
• Ila Brown, D.D.S.
• Courtney Frances Buehring, APRN
• William Seal Byers, M.D.
• Jessica Lynn Chapa
• Dewitt Medical District
• Dr. Benjamin D. Ernst, D.O. LTD. LLP
• Dr. Wade Phelps
• Frontier Pharmacy of Kenedy Inc
• Patricia Galindo

• Family Nurse Practitioner in Kenedy, TX
• Providers in Kenedy, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.