CHARLOTTE BARBARA CLARK-NEITZEL MD
NPI 1144372525
Family Medicine in Olympia, WA

Q: What is Charlotte Clark-neitzel's NPI number?

The NPI number for Charlotte Clark-neitzel is 1144372525. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Charlotte Clark-neitzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment

3775 MARTIN WAY E, SUITE A, OLYMPIA, WA 98506(360) 236-7166(360) 529-8070 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charlotte Barbara Clark-neitzel Md NPPES

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

CHARLOTTE BARBARA CLARK-NEITZEL MD (NPI 1144372525) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD0029059) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1989).

NPPES Registry Identity

NPI1144372525

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLOTTE BARBARA CLARK-NEITZELCredential: MD

Location Address3775 MARTIN WAY E, SUITE AOlympia, WA 98506-5007

Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9562 · Fax (360) 330-9560

Phone(360) 236-7166

Fax(360) 529-8070

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1989

Enumeration DateJanuary 17, 2007

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1144372525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD0029059

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3775 MARTIN WAY E, Olympia, WA 98506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlotte Barbara Clark-neitzel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739255944

PECOS Enrollment IDI20080911000275

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

40 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers23 claims45 services$5.17 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims18 services$0.78 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$3.25 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$5.81 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims6,199 services$0.29 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$15.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

LEWIS COUNTY COMMUNITY HEALTH SERVICES

Clinic/Center (Federally Qualified Health Center (FQHC))

3775 MARTIN WAY E, SUITE A
OLYMPIA, WA 98506

Thurston County (360) 236-7166

ELIZABETH LANGELAND RN, BSN

Registered Nurse

3775 MARTIN WAY E
OLYMPIA, WA 98506

Thurston County (360) 236-7166

DR. HEATHER DAWN NOVAK FNP-BC

Nurse Practitioner (Family)

3775 MARTIN WAY E
OLYMPIA, WA 98506

Thurston County (360) 236-7166

AMY J OLSON LMP

Massage Therapist

3775 MARTIN WAY E, STE B2
OLYMPIA, WA 98506

Thurston County (360) 292-6003

BRYAN NEIL BLUMER PA-C

Physician Assistant

3775 MARTIN WAY E
OLYMPIA, WA 98506

Thurston County (360) 236-7166

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 Charlotte Clark-neitzel's NPI number?

The NPI number for Charlotte Clark-neitzel is 1144372525. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Charlotte Clark-neitzel located?

Charlotte Clark-neitzel practices at 3775 Martin Way E Suite A, Olympia, WA 98506. The listed phone number is (360) 236-7166.

What is Charlotte Clark-neitzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charlotte Clark-neitzel enrolled in Medicare?

Yes. Charlotte Clark-neitzel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlotte Clark-neitzel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charlotte Clark-neitzel 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 Charlotte Clark-neitzel was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.