Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073795506 Individual Practitioner Female Practitioner

Kristine J. Clark , OTC

Specialist/Technologist, Other • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kristine Clark, OTC is a registered healthcare professional specializing in Specialist/Technologist, Other in Appleton, WI. Practice services are available at VALLEY ORTHOPEDIC CLINIC SC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Valley Orthopedic Clinic Sc
2105 E Enterprise Ave., Ste 111

Appleton, WI 549137862

Telephone 9207316611
Fax 9207316732
Associated Practice Facility / Clinic
🏢 Valley Orthopedic Clinic Sc Facility NPI 1780628925

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Appleton, WI (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Orthopaedic Tech-Cert
06-0813

Practice Associates & Co-Workers

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

16 Associated Practitioners
Ashley Rockey , ATC

Specialist/Technologist, Other

NPI 1073528493

Certified Athletic Trainer

Lyndsey Maves , PA-C

Physician Assistant

NPI 1073597761

Physician Assistant (Certified)

Sheryl Gauthier , PA-C

Physician Assistant

NPI 1114231974

Physician Assistant (Certified)

Kim Willison , APNP

Nurse Practitioner - Adult Health

NPI 1225080955

Advanced Practice Nurse Prescriber

Bradley Borgen , APNP

Nurse Practitioner

NPI 1255383006

Advanced Practice Nurse Prescriber

NPI 1336323260

Certified Nursing Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at VALLEY ORTHOPEDIC CLINIC SC, 2105 E ENTERPRISE AVE., STE 111, APPLETON, WI 549137862 (Tel: 9207316611)

📍
Updated Business Mailing Address November 27, 2007

Registered at VALLEY ORTHOPEDIC CLINIC SC, 2105 E ENTERPRISE AVE., STE 111, APPLETON, WI 549137862 (Tel: 9207316611)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as KRISTINE CLARK, O.T.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration November 27, 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: 1073795506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2007
Last Update: November 27, 2007
Sole Proprietor: No

Mailing Address

Valley Orthopedic Clinic Sc, 2105 E Enterprise Ave., Ste 111

Appleton, WI 549137862

Phone: 9207316611

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.