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ALEXA CLARK RDN
NPI 1265202642
Dietitian, Registered in Spokane, WA

Active since January 05, 2024Accepts Medicare Assignment
400 E 5TH AVE STE 4, SPOKANE, WA 99202(509) 342-3450(509) 342-3451 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexa Clark Rdn NPPES

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

ALEXA CLARK RDN (NPI 1265202642) is an individual dietitian, registered in Spokane, Washington, licensed in Washington (61510376) and active in the NPI registry since January 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1265202642
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALEXA CLARKCredential: RDN
Location Address400 E 5TH AVE STE 4Spokane, WA 99202-1334
Mailing Address2612 N Martin StSpokane, WA 99207-4953 · (775) 453-3826
Phone(509) 342-3450
Fax(509) 342-3451
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1265202642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · 61510376
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
400 E 5TH AVE STE 4, Spokane, WA 99202
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Accepted Insurance

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

Alexa Clark Rdn 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 ID3971940545
PECOS Enrollment IDI20240319003071

Medicare Billing Reassignment

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

Multicare Health System
Same address
Internal Medicine
400 E 5TH AVE
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1730687161 (509) 838-2531

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

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.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
52 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
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.

Other Providers at the Same Location NPPES

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

MYRON ZHANG M.D.
Dermatology
400 E 5TH AVE STE 4
SPOKANE, WA 99202
Spokane County (509) 342-3945

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 Alexa Clark's NPI number?

The NPI number for Alexa Clark is 1265202642. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Alexa Clark located?

Alexa Clark practices at 400 E 5th Ave Ste 4, Spokane, WA 99202. The listed phone number is (509) 342-3450.

What is Alexa Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alexa Clark enrolled in Medicare?

Yes. Alexa Clark 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.

Which organization bills Medicare for Alexa Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Clark reassigns Medicare benefits to Multicare Health System (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexa Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexa Clark accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alexa Clark 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 Alexa Clark was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.