Mrs Kimberlee Ann Clark-raby, AGNP-BC in Roseville, CA

Mrs Kimberlee Ann Clark-raby, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Roseville, California. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Tammany Parish Hospital Service District No 1 and her current practice location is 1161 Cirby Way, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 782-1238.

Mrs Kimberlee Ann Clark-raby is licensed to practice in California (license number 21308) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356580906.

Contact Information

	Mrs Kimberlee Ann Clark-raby, AGNP-BC
	1161 Cirby Way, Roseville, CA 95661-4421
	(916) 782-1238
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberlee Ann Clark-raby
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	1161 Cirby Way, Roseville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kimberlee Ann Clark-raby graduated from nursing school in 2008

NPI Data:

NPI Number: 1356580906
Provider Enumeration Date: 02/05/2009
Last Update Date: 11/20/2014

Medicare PECOS Information:

PECOS PAC ID: 4587882048
Enrollment ID: I20201104001090

Medical Identifiers

Medical identifiers for Mrs Kimberlee Ann Clark-raby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356580906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	21308 (California)	Primary
363LG0600X	Nurse Practitioner - Gerontology	21308 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Tammany Parish Hospital	Covington, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Tammany Parish Hospital Service District No 1	0749273761	148

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kimberlee Ann Clark-raby allows following entities to bill medicare on her behalf.

Entity Name	St Tammany Parish Hospital Service District No 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003

Entity Name	St Tammany Parish Hospital Service District No 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107

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. Mrs Kimberlee Ann Clark-raby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kimberlee Ann Clark-raby, AGNP-BC 3001 Douglas Blvd, #150, Roseville, CA 95661-3851 Ph: (916) 241-9844	Mrs Kimberlee Ann Clark-raby, AGNP-BC 1161 Cirby Way, Roseville, CA 95661-4421 Ph: (916) 782-1238

Reviews and Comments

Nurse Practitioner Nurses in Roseville, CA

Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650
Marsha J Montbriand, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Mrs. Pantea Nosrat Dunn, MSN PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Dr Ste 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992
Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003
Chan Mi Sung, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000
Chelsea Srene Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 959 Reserve Dr, Roseville, CA 95678 Phone: 916-782-8638
Catherine E Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414

Mrs Kimberlee Ann Clark-raby, AGNP-BC - Medicare Nurse Practitioner in Roseville, CA