Active NPI
Carolyn Gay Clark, NP-C
- Family Nurse Practitioner
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013024407
- Practice address
- 1065 State Highway 248
Branson, MO 65616-8398 - Phone
- (417) 332-3639
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2013024407 | MO | Primary |
Addresses
Primary practice location
1065 State Highway 248
Branson, MO 65616-8398
Mailing address
1065 State Highway 248
Branson, MO 65616-8398
Phone (417) 332-3639
Other practice location 1
1232 Branson Hills Pkwy Ste 106
Branson, MO 65616-4189
Phone (417) 332-3639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 State Hwy 248
Branson, MO 65616-8398
Phone (417) 332-3639
225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402
Hospital & facility affiliations
- Atlas Home Health and Therapy, LLC
- Cox Medical Center Branson
- Cox Medical Centers
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolyn Clark FNP LLC | Family | Current | Accepting new patients |
| Carolyn Clark FNP LLC | Current | Accepting new patients |
Locations
1232 Branson Hills Pkwy
Ste 106
Branson, MO 65616
Phone (417) 332-3636
1065 State Highway 248
Branson, MO 65616
Phone (417) 332-3639
5571 Gretna Rd
Ste B
Branson, MO 65616
Phone (417) 332-3639
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Branson, MO
- NPI 1134500739
-
- Urgent Care Clinic/Center
- Branson, MO
- NPI 1578402541
-
- Multi-Specialty Clinic/Center
- Branson, MO
- NPI 1518040443
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Branson, MO
- NPI 1457928095
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1679915664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168398",
"telephone_number": "417-332-3639",
"fax_number": "417-332-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168398",
"telephone_number": "417-332-3639"
}
],
"practiceLocations": [
{
"address_1": "1232 Branson Hills Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656164189",
"country_code": "US",
"telephone_number": "417-332-3639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "CAROLYN",
"middle_name": "GAY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2013024407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.