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

Kristina Clark, APRN

Individual provider Registered Nurse · NPI 1063871341

Kristina Clark, APRN is a Nurse Practitioner in Port Saint Lucie, Florida. Qualified in 2016, 10 years ago. Practices with Richard J Pena- Ariet MD PA, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1420 SW Saint Lucie West Blvd Ste 107
Port Saint Lucie, FL 34986-1709
Phone: (772) 879-1112
Fax: (772) 879-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9035 Americana Rd Ste 13, Vero Beach, FL 32966-6670 — (954) 531-8630
  • 9886 E Verona Cir, Vero Beach, FL 32966-3119 — (954) 531-8630

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9324590 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9324590 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9324590 (FL)

Record details

NPI number1063871341
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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 Richard J Pena- Ariet Md Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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