DR. NICOLE RENEE CLARK NP
NPI 1104021740
Nurse Practitioner - Family in Rochester, MI
NPI Status: Active since June 15, 2007
Contact Information
408 MEADOW BROOK RD
ROCHESTER, MI
ZIP 48309
Phone: (248) 370-2341
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
About NICOLE CLARK
This page provides the complete NPI Profile along with additional information for Nicole Clark, a provider established in Rochester, Michigan with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104021740 assigned on June 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 4704190098 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104021740
- Provider Name
- DR. NICOLE RENEE CLARK NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 408 MEADOW BROOK RD ROCHESTER, MI 48309
- Location Phone
- (248) 370-2341
- Mailing Address
- 1563 ELCROFT CT ROCHESTER, MI 48307
- Mailing Phone
- (586) 219-7438
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2007
- Last Update Date
- 09-06-2025
- Code Navigator
A nurse practitioner (NP) like Nicole Clark is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704190098
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104021740, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ROCHESTER HILLS, MI 48309
ROCHESTER, MI 48309
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104021740, enumerated as an "individual" on June 15, 2007.
The provider is located at 408 MEADOW BROOK RD ROCHESTER, MI 48309 and the phone number is (248) 370-2341.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.
