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

Kelly Noelle Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1124567276

Kelly Noelle Clark, FNP is a Nurse Practitioner in Lone Tree, Colorado. Qualified in 2016, 10 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

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

10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2045 N Franklin St, Denver, CO 80205-5437 — (303) 338-4545

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN.0992562-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0992562-NP (CO)

Record details

NPI number1124567276
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2017
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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 Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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