Debra Clark, PNP
NPI 1336525625ActiveIndividual· Nurse Practitioner, Pediatrics· Concord, NC
Nurse Practitioner, Pediatrics (PNP) in Concord, North Carolina, licensed in NC, with an NPI issued in August 2015. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1336525625 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP |
| Sole proprietor | No |
| NPI issued | Aug 10, 2015 |
| Last updated in NPPES | Aug 2, 2024 |
| Certified by provider | Aug 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 5007863 | NC |
| Nurse Practitioner | 363L00000X | 5007863 | NC |
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 Practitioner - Nurse Practitioner (NC) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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