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Active NPI 1578752267 Individual Practitioner Female Practitioner

Kimberly Tenita Clark , CNP

Nurse Practitioner • Berea, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Clark, CNP is a certified Nurse Practitioner practicing in Berea, OH. With approximately 14 years of clinical experience since completing medical education in 2012, Kimberly Clark delivers high-quality medical care to the local community at 202 E BAGLEY RD.

Kimberly Clark is affiliated with Renaissance Behavioral Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

202 E Bagley Rd

Berea, OH 440172058

Telephone 4402608327
Fax 4402608305
Associated Practice Facility / Clinic
🏢 Ohioguidestone Facility NPI 1447524673

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Berea, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +1.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Berea, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (14 Years) 14 Yrs
Berea Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
27 14 $165.15 $101.64

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.14022

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH 304700

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License OH A0812095

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH COA.14022

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Renaissance Behavioral Health Llc

3740 Euclid Ave, Cleveland, OH 441152229

Phone: 4406062003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Lauren Givan , LISW

Social Worker - Clinical

NPI 1073709234

Licensed Independent Social Worker

Charisse Dawson

Social Worker

NPI 1073911368
Deana Davis

Social Worker

NPI 1083012371
Richard Reihing

Counselor - Professional

NPI 1154729440
Betsy Dewine , QMHS BA CMS BA

Community/Behavioral Health

NPI 1275098519

QMHSBACMSBA

Michael Marce , RN

Registered Nurse

NPI 1275954281

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2016

Registered at 202 E BAGLEY RD, BEREA, OH 440172058 (Tel: 4402608327)

📍
Updated Business Mailing Address October 03, 2016

Registered at 3500 CARNEGIE AVE, CLEVELAND, OH 441152641 (Tel: 4402608900)

👤
Provider Name / Credentials Updated October 03, 2016

Recorded as KIMBERLY CLARK, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2016

Registered Nurse (License #304700 in OH)

🟢
Initial NPI Registration & Enumeration October 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578752267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2007
Last Update: October 03, 2016
Sole Proprietor: No

Mailing Address

3500 Carnegie Ave

Cleveland, OH 441152641

Phone: 4402608900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.