Kelly Noelle Clark, FNP
NPI 1124567276ActiveIndividual· Nurse Practitioner, Adult Health· Lone Tree, CO
Nurse Practitioner, Adult Health (FNP) with Colorado Permanente Medical Group PC, practicing in Lone Tree, Colorado. Their prescriptions cost Medicare Part D more than their services did: $2,731 for 207 claims, against $831.91 paid for services in 2024. Abbott Laboratories reported $17.81 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124567276 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Feb 21, 2017 |
| Last updated in NPPES | Mar 3, 2022 |
| Certified by provider | Mar 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APN.0992562-NP | CO |
| Nurse Practitioner, Family | 363LF0000X | APN.0992562-NP | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 19 across 2 procedure codes |
| Paid by Medicare | $831.91 |
Part D prescriptions in 2024
| Prescriptions (claims) | 207 · 208 30-day fills |
|---|---|
| Patients | 195 |
| Total drug cost | $2,731 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Colorado Permanente Medical Group PCDenver, CO · 1,327 clinicians
Industry payments (Open Payments)
- 2024$17.81 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $17.81 | 1 |
What the 2024 payments were for
- Food and Beverage$17.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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