Ms Kerry Clark, AGNP-BC - Nurse Practitioner in Alexandria, VA

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Ms Kerry Clark, AGNP-BC is a Nurse Practitioner - Adult Health physician based in Alexandria, Virginia. Ms Kerry Clark is licensed to practice in Virginia (license number 0024178999) and her current practice location is 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 988-4683.

NPI number for Ms Kerry Clark is 1932575743 and her current mailing address is 224-d Cornwall St, Suite 403, Leesburg, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932575743.

Contact Information

Ms Kerry Clark, AGNP-BC
4660 Kenmore Avenue, Suite 305 & 500,
Alexandria, VA 22304-1306
(703) 988-4683
Not Available

Map and Direction




Physician's Profile

Full NameMs Kerry Clark
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932575743
  • Provider Enumeration Date: 08/15/2015
  • Last Update Date: 03/06/2024

Medical Identifiers

Medical identifiers for Ms Kerry Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932575743NPI-NPPES
1932575743MedicaidVA
30016021870002MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine RN1038780 (District Of Columbia)Secondary
363LG0600XNurse Practitioner - Gerontology 0024178999 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health 0024178999 (Virginia)Primary
363LP2300XNurse Practitioner - Primary Care 0024178999 (Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kerry Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kerry Clark, AGNP-BC
224-d Cornwall St, Suite 403,
Leesburg, VA 20176-2704

Ph: (703) 737-6010		Ms Kerry Clark, AGNP-BC
4660 Kenmore Avenue, Suite 305 & 500,
Alexandria, VA 22304-1306

Ph: (703) 988-4683

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.