Kara Anne Clark, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024167520 Issued in VA

Practice address

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466

Phone

(804) 285-6880

Fax

(804) 706-1585

NPI assigned

Jun 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Virginia Commonwealth University, School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bon Secours Medical Group Richmond Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1477112225
  Medicare reassignment Care Compare group NPD
• Bon Secours Memorial Regional Medical Center LLC

  • Specialist
  • Glen Allen, VA
  • NPI 1881795557
  Medicare reassignment NPD
• Bon Secours St. Francis Medical Center LLC

  • General Acute Care Hospital
  • Midlothian, VA
  • NPI 1356350391
  Medicare reassignment NPD
• Bon Secours St. Mary'S Hospital of Richmond LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Medicare reassignment NPD
• Bon Secours - Memorial Regional Medical Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1003451410
  NPD
• Bon Secours Medical Group Richmond Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Midlothian, VA
  • NPI 1841029287
  NPD
• Bon Secours Memorial Regional Medical Center Inc

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1144529207
  NPD
• Bon Secours St Mary'S Hospital of Richmond LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1265465777
  NPD
• Bon Secours St Marys Hospital of Richmond LLC

  • Land Ambulance
  • Richmond, VA
  • NPI 1124772470
  NPD
• Bon Secours St. Francis Medical Center LLC

  • Neonatal-Perinatal Medicine Physician
  • Midlothian, VA
  • NPI 1952945941
  NPD
• Bon Secours St. Francis Medical Center, Inc.

  • Family Medicine Physician
  • Petersburg, VA
  • NPI 1124421318
  NPD
• Bon Secours St Francis Medical Center LLC

  • Surgery Physician
  • Midlothian, VA
  • NPI 1083841936
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1710147145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KARA",
        "middle_name": "ANNE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024167520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710147145",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citagroup LLC
• John Silvius Ciurash, M.D.
• Clarity Hearing, LLC
• Clarity Wellness Counseling LLC
• Edward Owen Clark, LDO,ABOC
• Scott Clark Sr.
• Rochelle Clarke, LPC
• Melissa N. Clayton, A.N.P.
• Clear Steps LLC
• Kim C. Clements, M. D.

• Acute Care Nurse Practitioner in Chester, VA
• Providers in Chester, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.