Skip to content

Kali Jo Clark, RN

NPI 1629330345ActiveIndividual· Registered Nurse· St. Paul, MN

Registered Nurse (RN) in St. Paul, Minnesota, licensed in WI and MT, with an NPI issued in June 2012.

Overview

NPI1629330345
StatusActive
Entity typeIndividual
CredentialRN
Sole proprietorYes
NPI issuedJun 8, 2012
Last updated in NPPESJun 8, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse Primary163W00000X169039-30WI
Registered Nurse163W00000X38828MT

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Medicare sources and data years

Other Registered Nurse providers in St. Paul

All Registered Nurse providers in Minnesota →