Kelly Ann Clark, FNP
NPI 1861026650ActiveIndividual· Nurse Practitioner· Saint Louis, MO
Nurse Practitioner (FNP) with Canyon Healthcare Inc, practicing in Saint Louis, Missouri. Part D covered 37 prescriptions written in 2024, 97% of them generic. Dexcom, Inc. was the largest of 2 companies reporting payments in 2024, $59.11 in all, mostly food and beverage.
Overview
| NPI | 1861026650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Mar 2, 2020 |
| Last updated in NPPES | Mar 2, 2020 |
| Certified by provider | Mar 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2018011505 | 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 Practitioner - Nurse Practitioner (MO); Practitioner - Nurse Practitioner (UT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 37 · 37 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $1,109 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Canyon Healthcare IncLayton, UT · 12 clinicians
Other facilities
- Symbii Home Health SouthHome health agency · Murray, UT
Industry payments (Open Payments)
- 2024$59.11 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $37.15 | 2 |
| Abbvie Inc. | $21.96 | 1 |
What the 2024 payments were for
- Food and Beverage$59.11 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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