Individual provider Active NPI

Kelly Alexa Clarke, ARNP

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1922544766
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021875 Issued in NC
Practice address
905 Thunder Rd Ste 250
Elizabeth City, NC 27909-7672
Phone
(252) 331-2044
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024192849 VA
Family Nurse Practitioner 363LF0000X ARNP9349079 FL
Family Nurse Practitioner 363LF0000X 1-185490 AL
Family Nurse Practitioner 363LF0000X 5021875 NC Primary

Addresses

Primary practice location

905 Thunder Rd Ste 250
Elizabeth City, NC 27909-7672

Mailing address

6350 Center Dr Ste 200
Norfolk, VA 23502-4107
Phone (757) 905-5558

Other practice location 1

6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800
Phone (757) 466-8683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220217000631 AL Practitioner - Nurse Practitioner 5395020382
I20250527001184 NC Practitioner - Nurse Practitioner 5395020382 Reassigns benefits to 1 organization
I20250527001393 VA Practitioner - Nurse Practitioner 5395020382

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

905 Thunder Rd
Elizabeth City, NC 27909-7672
Phone (252) 331-2044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9349079FLMDFamily Nurse Practitioner
0024192849VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Oncology Associates CurrentSince Jun 1, 2025 Accepting new patients
Virginia Oncology Associates CurrentSince Jun 1, 2025 Accepting new patients

Locations

905 Thunder Rd
Ste 250
Elizabeth City, NC 27909
Phone (252) 331-2044

1503 N Road St
#B
Elizabeth Cty, NC 27909
Phone (252) 331-2044

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

6350 Center Dr
Ste 200
Norfolk, VA 23502

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

Interoperability endpoints

  • Direct secure messaging: kelly.clarke@voa.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1922544766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-905-5558",
            "fax_number": "757-213-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 250",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-331-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6251 E Virginia Beach Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022800",
            "country_code": "US",
            "telephone_number": "757-466-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KELLY",
        "middle_name": "ALEXA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9349079",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-185490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.