Kolu S. Baysah Clark, DNP
NPI 1336535624ActiveIndividual· Nurse Practitioner, Gerontology· Warwick, RI
Nurse Practitioner, Gerontology (DNP) with Umass Memorial Medical Group Inc, practicing in Warwick, Rhode Island. Medicare paid $1,247 for services to 14 patients in 2024. Lists Umass Memorial Medical Center/University Campus as a hospital affiliation.
Overview
| NPI | 1336535624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Apr 13, 2015 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | APRN00086 | RI |
| Nurse Practitioner | 363L00000X | RN2269378 | MA |
| Nurse Practitioner, Primary Care | 363LP2300X | APRN00086 | RI |
| Nurse Practitioner, Primary Care | 363LP2300X | RN2269378 | MA |
| Nurse Practitioner | 363L00000X | APRN00086 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MA); Practitioner - Nurse Practitioner (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 14 across 2 procedure codes |
| Paid by Medicare | $1,247 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
Hospital affiliation
- Umass Memorial Medical Center/University CampusWorcester, MA
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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