Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristy Nicole Clark, CRNP

Individual provider Family Nurse Practitioner · NPI 1699317578

Kristy Nicole Clark, CRNP is a Nurse Practitioner in Shinglehouse, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Charles Cole Memorial Hospital, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

129 N Puritan St
Shinglehouse, PA 16748
Phone: (814) 260-9352
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 511 Academy St, Ulysses, PA 16948-9580 — (814) 848-7555

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020957 (PA)

Record details

NPI number1699317578
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedOctober 12, 2019
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Charles Cole Memorial Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Jones Memorial Hospital Hospital · Wellsville, NY
  • Upmc Cole Hospital · Coudersport, PA
  • Upmc Home Healthcare Home health agency · Williamsport, PA
  • Family Hospice Hospice · Williamsport, PA

Colleagues at Charles Cole Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 68 clinicians in the practice; 12 are shown here.