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Yen Ngoc Clark

NPI 1083595672ActiveIndividual· Nurse Practitioner, Psych/Mental Health· New Port Richey, FL

Opted out of Medicare from January 2026 to January 2028. Nurse Practitioner, Psych/Mental Health in New Port Richey, Florida, licensed in FL, with an NPI issued in September 2025. Revance Therapeutics, Inc. reported $86.30 in payments in 2025, mostly food and beverage.

Overview

NPI1083595672
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 10, 2025
Last updated in NPPESSep 10, 2025
Certified by providerSep 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808XAPRN11041759FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jan 18, 2026 – Jan 18, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$86.30 · 2 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Revance Therapeutics, Inc.$86.302

What the 2025 payments were for

  • Food and Beverage$86.30 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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