MICAH SHEA CLARK
NPI 1205902236
Nurse Anesthetist, Certified Registered in Oak Ridge, TN

Q: What is Micah Clark's NPI number?

The NPI number for Micah Clark is 1205902236. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Micah Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Micah Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 28, 2006Accepts Medicare Assignment

990 OAK RIDGE TPKE, OAK RIDGE, TN 37830(931) 858-6303(931) 858-6305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Micah Shea Clark NPPES

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

MICAH SHEA CLARK (NPI 1205902236) is an individual nurse anesthetist, certified registered in Oak Ridge, Tennessee, licensed in Tennessee (075331) and active in the NPI registry since November 2006. She is affiliated with Methodist Medical Center Of Oak Ridge and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205902236

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMICAH SHEA CLARK

Location Address990 OAK RIDGE TPKEOak Ridge, TN 37830-6976

Mailing AddressPo Box 5059Oak Ridge, TN 37831-5059 · (770) 237-1089 · Fax (770) 237-1124

Phone(931) 858-6303

Fax(931) 858-6305

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205902236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 075331

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

990 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micah Shea Clark 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 ID9537265673

PECOS Enrollment IDI20070505000148

Medicare Billing Reassignment

Medicare enrollment records show Micah Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Anesthesia Group, PC

Same address

Anesthesiology

990 OAK RIDGE TPKE, ANESTHESIA DEPT
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
289 clinicians in this Medicare group

NPI 1639148117 (865) 691-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

38 services38 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

18 services18 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

16 services16 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 20

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

MRS. LAUREN WALRAVEN HOWELL R.D.

Dietitian, Registered

990 OAK RIDGE TPKE, FOOD AND NUTRITION SERVICES
OAK RIDGE, TN 37830

Anderson County (865) 835-4109

CHUKWUMA UMUNAKWE M.D.

Emergency Medicine