Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristine Nicole Clark, DNP, ANP-C

Individual provider Nurse Practitioner · NPI 1861707192

Kristine Nicole Clark, DNP, ANP-C is a Nurse Practitioner in Rochester, New York. Qualified in 2009, 17 years ago. Practices with County of Monroe, a 16-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

435 E Henrietta Rd Box Shg
Rochester, NY 14620-4629
Phone: (585) 760-5469
Fax: (585) 424-4184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X · Licence 307254 (NY)

Record details

NPI number1861707192
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , ANP-C
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESJune 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice County Of Monroe — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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