CHELSEA ELIZABETH CLARK FNP
NPI 1083446256
Nurse Practitioner - Family in Portland, OR

Active since August 16, 2024PECOS Enrolled
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210(503) 229-7976(503) 274-4867 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2025, Dec 19, 2024, Aug 16, 2024 (3 updates tracked since 2024).

About Chelsea Elizabeth Clark Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHELSEA ELIZABETH CLARK FNP (NPI 1083446256) is an individual family provider in Portland, Oregon, licensed in Oregon (10025789) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083446256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEA ELIZABETH CLARKCredential: FNP
Location Address1130 NW 22ND AVE STE 640Portland, OR 97210-5488
Mailing Address1130 Nw 22nd Ave Ste 640Portland, OR 97210-5488 · (503) 229-7976 · Fax (503) 274-4867
Fax(503) 274-4867
Sole ProprietorNo
Enumeration DateAugust 16, 2024
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1083446256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 10025789
1130 NW 22ND AVE STE 640, Portland, OR 97210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chelsea Elizabeth Clark Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Physician Assistant (Medical)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210

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 Chelsea Clark's NPI number?

The NPI number for Chelsea Clark is 1083446256. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Chelsea Clark located?

Chelsea Clark practices at 1130 NW 22nd Ave Ste 640, Portland, OR 97210. The listed phone number is (503) 229-7976.

What is Chelsea Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chelsea Clark enrolled in Medicare?

Yes. Chelsea Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chelsea Clark was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.