EDITH CLARK DPM PLLC
NPI 1023174273
Podiatrist in Clare, MI
About Edith Clark Dpm Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDITH CLARK DPM PLLC (NPI 1023174273) is a healthcare organization registered as a podiatrist in Clare, Michigan and active in the NPI registry since December 2006. The organization lists Edith Clark, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edith Clark Dpm Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Edith Clark DPM PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edith Clark Dpm PLLC's NPI number?
The NPI number for Edith Clark Dpm PLLC is 1023174273. It was assigned to this organization in the NPPES registry on December 29, 2006.
Where is Edith Clark Dpm PLLC located?
Edith Clark Dpm PLLC is located at 125 Dwyer St, Clare, MI 48617. The listed phone number is (989) 386-9721.
What is Edith Clark Dpm PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Edith Clark Dpm PLLC enrolled in Medicare?
Yes. Edith Clark Dpm PLLC is registered in the Medicare PECOS enrollment system.
When is Edith Clark Dpm PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Edith Clark Dpm PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Edith Clark Dpm PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Edith Clark Dpm PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edith Clark Dpm PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edith Clark Dpm PLLC was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edith Clark Dpm Pllc · NPI 1023174273
Podiatrist organization in Clare, Michigan. Organization record, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1023174273 (Entity type: Organization)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Edith Clark, PHYSICIAN
## Practice location
- **Address:** 125 DWYER ST, Clare, MI 48617-1002
- **Phone:** (989) 386-9721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2010
- **Other identifiers:** Medicare UPIN U58868 (MI); Medicare ID-Type Unspecified 0N91350 (MI); Medicaid 4613888 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1023174273) · Data from the CMS NPPES public registry.