DANIEL CLARK
NPI 1265978902
Nurse Anesthetist, Certified Registered in Spokane, WA
About Daniel Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL CLARK (NPI 1265978902) is an individual nurse anesthetist, certified registered in Spokane, Washington, licensed in Washington (AP60732194) and active in the NPI registry since January 2017. He is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Daniel 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.
Medicare Billing Reassignments
2Medicare enrollment records show Daniel Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 242 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Spokane Digestive Disease Center Ps
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prov Sacred Hrt Med Ctr & Childs Hosp.
Acute Care Hospitals · Spokane, WAProvidence Holy Family Hospital
Acute Care Hospitals · Spokane, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Daniel Clark's NPI number?
The NPI number for Daniel Clark is 1265978902. It was assigned to this individual provider in the NPPES registry on January 18, 2017.
Where is Daniel Clark located?
Daniel Clark practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-2072.
What is Daniel Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Daniel Clark enrolled in Medicare?
Yes. Daniel 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 organizations bill Medicare for Daniel Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Clark reassigns Medicare benefits to 2 organizations: Providence Health & Service- Washington (Spokane, WA) and Spokane Digestive Disease Center, P.S. (Spokane, WA). Each 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 Daniel Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Clark accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Daniel 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.
Is Daniel Clark affiliated with any hospitals?
According to CMS data, Daniel Clark is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.
When was this NPI record last updated?
The NPPES record for Daniel Clark was last updated on May 3, 2021. 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.
# Daniel Clark · NPI 1265978902
Nurse Anesthetist, Certified Registered physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since January 18, 2017.
## Identity
- **NPI:** 1265978902 (Entity type: Individual)
- **Enumerated:** January 18, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP60732194 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 W 8TH AVE, Spokane, WA 99204-2307
- **Phone:** (509) 474-2072
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Service- Washington (NPI 1508118555, Spokane, WA); Spokane Digestive Disease Center, P.S. (NPI 1699808873, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265978902) · Data from the CMS NPPES public registry.