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

Rebecca Klark

Individual provider Acute Care Nurse Practitioner · NPI 1427858992

Rebecca Klark is a Nurse Practitioner in Kettering, Ohio. Qualified in 2024, 2 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

3737 Southern Blvd Ste 3000A
Kettering, OH 45429-1262
Phone: (937) 433-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0038871 (OH)

Record details

NPI number1427858992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address8972 Wilmington Rd, Oregonia, OH 45054-9439

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering