CLARK JOSEPH WYATT NP-C
NPI 1215448246
Nurse Practitioner - Family in Twin Falls, ID

Q: What is Clark Wyatt's NPI number?

The NPI number for Clark Wyatt is 1215448246. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Q: What is Clark Wyatt'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 Clark Wyatt was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 17, 2017PECOS EnrolledAccepts Medicare Assignment

80.05/100

CMS Quality Rating

1502 LOCUST ST N STE 600, TWIN FALLS, ID 83301(208) 734-6091(208) 734-4654 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Oct 17, 2017 (2 updates tracked since 2017).

On this page

About Clark Joseph Wyatt Np-c NPPES

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

CLARK JOSEPH WYATT NP-C (NPI 1215448246) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (57139) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215448246

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCLARK JOSEPH WYATTCredential: NP-C

Location Address1502 LOCUST ST N STE 600Twin Falls, ID 83301-4164

Mailing Address1131 Cole StKimberly, ID 83341-5138 · (208) 490-1901

Phone(208) 734-6091

Fax(208) 734-4654

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 17, 2017

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1215448246 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 ID · 57139

1502 LOCUST ST N STE 600, Twin Falls, ID 83301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, PacificSource Health Plans, Providence Health Plan 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 and accepts Medicare assignment

Clark Joseph Wyatt Np-c 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 ID9234491820

PECOS Enrollment IDI20180319002478, I20190621002711

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 10

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,414 services26 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

288 services15 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

235 services23 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

97 services59 patients

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.

87 services68 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.

53 services45 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

80.05/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

33.51

Referred Medical Equipment & Supplies CMS DME claims 7

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers25 claims25 services$6.44 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers24 claims1,440 services$4.36 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$6.55 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers15 claims1,560 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers48 claims2,760 services$0.76 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers35 claims183,750 services$0.15 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 4

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

DR. SHAYNE C STOKES MD

Allergy & Immunology

1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301

Twin Falls County (208) 734-6091

ASTHMA & ALLERGY OF IDAHO

Nurse Practitioner

1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301

Twin Falls County (208) 734-6091

ASTHMA & ALLERGY OF IDAHO PLLC

Allergy & Immunology (Allergy)

1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301

Twin Falls County (208) 734-6091

DR. GREGORY MATHEW WICKERN M.D.

Allergy & Immunology (Allergy)

1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301

Twin Falls County (208) 734-6091

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 Clark Wyatt's NPI number?

The NPI number for Clark Wyatt is 1215448246. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Clark Wyatt located?

Clark Wyatt practices at 1502 Locust St N Ste 600, Twin Falls, ID 83301. The listed phone number is (208) 734-6091.

What is Clark Wyatt's specialty?

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

Is Clark Wyatt enrolled in Medicare?

Yes. Clark Wyatt 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 Clark Wyatt accept?

Health plans from Ambetter from Arizona Complete Health, PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Clark Wyatt 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.

Is Clark Wyatt affiliated with any hospitals?

According to CMS data, Clark Wyatt is affiliated with St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Clark Wyatt was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.