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

Charles Nicholson Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1013485713

Charles Nicholson Clark, FNP is a Nurse Practitioner in Kerrville, Texas. Qualified in 2018, 8 years ago. Practices with Peterson Medical Associates, a 191-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

575 Hill Country Dr Ste 301
Kerrville, TX 78028-6024
Phone: (830) 258-7762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP139709 (TX)

Record details

NPI number1013485713
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 12, 2018
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address575 Hill Country Dr Ste 101, Kerrville, TX 78028-6024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Peterson Medical Associates — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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