Carolyn Clark Fnp LLC
NPI 1134500739ActiveOrganization· Nurse Practitioner, Family· Branson, MO
Nurse Practitioner, Family in Branson, Missouri, registered in NPPES in June 2015. The authorized official on file is Carolyn Clark, NP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134500739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Jun 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2013024407 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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