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

Crystal Lea Clark, APRN-C

Individual provider Family Nurse Practitioner · NPI 1013452879

Crystal Lea Clark, APRN-C is a Nurse Practitioner in Topeka, Kansas. Qualified in 2016, 10 years ago. Practices with Topeka Physician Group LLC, a 149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1700 SW 7th St
Topeka, KS 66606-2489
Phone: (785) 295-8000
Fax: (785) 295-5483
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-77518-082 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 53-77518-082 (KS)

Record details

NPI number1013452879
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2017
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address1101 Sw 29th St, Topeka, KS 66611-1200

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Topeka Physician Group Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Topeka