Provider Profile

Keressa L. Clark, NP

Unclaimed Profile

About Keressa Clark

Keressa L. Clark, NP is a nurse practitioner — family based in Kingsport, TN. According to Medicare claims data, Keressa cared for 734 Medicare patients across 995 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, injection, dexamethasone sodium phosphate, 1 mg, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2016

Specialty

Nurse Practitioner — Family (Primary)
Nurse Practitioner — Family (Additional)

Credentials & Licensing

TN license21571
VA license0024173732
NPI1346693868
NPI issued07/20/2016

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Keressa L. Clark's specialty?

Keressa L. Clark is a nurse practitioner in Kingsport, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where can I find Keressa L. Clark?

Keressa L. Clark is listed at 111 W Stone Dr Suite 110, Kingsport, TN 37660. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Keressa L. Clark?

The number on file is (423) 224-3701. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Keressa L. Clark's NPI number?

Keressa L. Clark's National Provider Identifier is 1346693868. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Keressa L. Clark's education?

Keressa L. Clark attended Other, graduating in 2016. This comes from the CMS National Downloadable File.

CMS public data

How long has Keressa L. Clark been practicing?

Keressa L. Clark has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.

CMS public data

What is Keressa L. Clark known for?

According to Medicare billing data, Keressa L. Clark provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Keressa L. Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Keressa L. Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.