MICHAEL CLARK FNP-C – NPI #1386170348
Nurse Practitioner

MICHAEL CLARK is a nurse practitioner located in ELKO, NV. NPPES has assigned the NPI number 1386170348 to MICHAEL CLARK on May 11, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was last updated on Oct 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL CLARK below.

NPI Profile for
MICHAEL CLARK

NPI Number
1386170348
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL CLARK
Credentials
FNP-C
Primary location
1993 ERRECART BLVD
ELKO, NV 89801-8334
Phone: (775) 753-1049 Fax: (775) 777-8494
Mailing address
317 E 100 N
PRICE, UT 84501-2504
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 UT 812262
163W00000X
- Registered Nurse		 UT 7198090-3102

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • CASTLEVIEW HOSPITAL
      300 NORTH HOSPITAL DRIVE
      PRICE, UT 84501

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.