SHIRELLE LATRICE CLARK NP
NPI 1144797085
Nurse Practitioner - Family in Portland, OR

Q: What is Shirelle Clark's NPI number?

The NPI number for Shirelle Clark is 1144797085. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Q: What is Shirelle Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shirelle Clark was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 29, 2018PECOS Enrolled

97.83/100

CMS Quality Rating

3303 S BOND AVE, PORTLAND, OR 97239(503) 494-6594(503) 494-5385 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2023, Jun 22, 2021, Oct 29, 2018 (3 updates tracked since 2018).

On this page

About Shirelle Latrice Clark Np NPPES

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

SHIRELLE LATRICE CLARK NP (NPI 1144797085) is an individual family provider in Portland, Oregon, licensed in Oregon (10003750) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stockbridge.

NPPES Registry Identity

NPI1144797085

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHIRELLE LATRICE CLARKCredential: NP

Location Address3303 S BOND AVEPortland, OR 97239-4501

Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015

Phone(503) 494-6594

Fax(503) 494-5385

Sole ProprietorNo

Enumeration DateOctober 29, 2018

Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1144797085 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

Licenses✔ Licensed in OR · 10003750✔ Licensed in GA · RN228546

3303 S BOND AVE, Portland, OR 97239

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Secondary Practice Location 1

Location 11050 Eagles Landing Pkwy Ste 302Stockbridge, GA 30281-9250 · Phone (678) 723-1831

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirelle Latrice Clark Np 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.97

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

CHERYL STOMBERG FNP

Nurse Practitioner (Family)