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

Mrs. Kimberly Ann Clark, RNMSNFNP-C

Individual provider Case Management Registered Nurse · NPI 1508405028

Mrs. Kimberly Ann Clark, RNMSNFNP-C is a Nurse Practitioner in Wheeler, Texas. Qualified in 2022, 4 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
4
Licensed in
OK, TX
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

307 E 9th St
Wheeler, TX 79096-1030
Phone: (580) 558-8543
Fax: (630) 570-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 South Sweetwater Street, Wheeler, TX 79096-1030 — (806) 826-5581

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1014028 (TX)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 95760 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F05200738 (OK)

Record details

NPI number1508405028
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSNFNP-C
Sole proprietorNo
NPI enumeratedDecember 31, 2019
Last updated in NPPESOctober 20, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Colleagues at Williams Medical Group Practice, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 207 clinicians in the practice; 12 are shown here.