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

Dr. Kelsey Nicole Clark, DO

Individual provider Emergency Medicine Physician · NPI 1962080390

Dr. Kelsey Nicole Clark, DO is an Emergency Medicine in Hackettstown, New Jersey. Graduated from West Virginia School of Osteopathic Medicine in 2021, 5 years ago. Practices with Newton Emergency Medical Associates LLC, a 32-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone: (908) 852-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB12242400 (NJ)

Record details

NPI number1962080390
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 17, 2024
Certification dateAugust 17, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Newton Emergency Medical Associates Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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