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

Kelsie Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1669153987

Kelsie Clark, FNP is a Nurse Practitioner in Rancho Mirage, California. Qualified in 2023, 3 years ago. Practices with Eisenhower Medical Center, a 459-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 340-3911
Fax: (760) 773-1448
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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 95025383 (CA)

Record details

NPI number1669153987
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 28, 2023
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Mirage