Krysta Ann Clark is a Winter Haven, Florida based nurse practitioner with 6 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Krysta Ann Clark is APRN11018536 for Gerontology in Florida. Her current practice location is 400 Avenue F Se Fl 1, Winter Haven. Patients can reach her at 727-315-6775. Krysta Ann Clark is NP and her NPI number (Unique professional ID assigned by NPPES) is 1366094914. Krysta Ann Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Krysta Ann Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Krysta Ann Clark
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
400 Avenue F Se Fl 1, Winter Haven, Florida, 33880-3751
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1557795580
Enrollment ID:
I20191230001538
NPI Number:
1366094914
NPI Enumeration Date:
14 Jul, 2019
NPI Last Update On:
08 Jul, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Krysta Ann Clark are as mentioned below.
License Number
Specialization
State
Status
APRN11018536
Gerontology
Florida
Primary
544669
Registered Nurse
New York
Secondary
APRN11018536
Family
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(330277)
Corning, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Krysta Ann Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Guthrie Medical Group Pc (6002728656)
632
Other Medical Identifiers:
Other legacy medical identifiers associated with Krysta Ann Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
117903900
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Krysta Ann Clark 2995 Drew St Fl 2, Clearwater, Florida
Zip:
33759-3012
Phone Number:
727-315-7469
Patients can reach Krysta Ann Clark at 400 Avenue F Se Fl 1, Winter Haven, Florida or can call to book an appointment on 727-315-6775.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.