MICHELLE E CLARK APRN
NPI 1295080141
Nurse Practitioner - Family in Cape Coral, FL

Q: What is Michelle Clark's NPI number?

The NPI number for Michelle Clark is 1295080141. It was assigned to this individual provider in the NPPES registry on July 17, 2012. The provider is also known as Michelle E Brink Aprn.

Q: What is Michelle 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 Michelle Clark was last updated on June 8, 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 July 17, 2012PECOS EnrolledAccepts Medicare Assignment

708 DEL PRADO BLVD S STE 7, CAPE CORAL, FL 33990(239) 424-3660(239) 343-4133 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Feb 8, 2022, Mar 20, 2019 and 3 more (6 updates tracked since 2016).

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About Michelle E Clark Aprn NPPES

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

MICHELLE E CLARK APRN (NPI 1295080141) is an individual family provider in Cape Coral, Florida, licensed in Florida (APRN9291822) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295080141

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE E CLARKCredential: APRN

Location Address708 DEL PRADO BLVD S STE 7Cape Coral, FL 33990-2676

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-3660 · Fax (239) 343-4133

Phone(239) 424-3660

Fax(239) 343-4133

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 17, 2012

Last NPPES UpdateJune 8, 20236 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1295080141 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 FL · APRN9291822

708 DEL PRADO BLVD S STE 7, Cape Coral, FL 33990

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Other Names 1

Former Name (1)Michelle E Brink Aprn

Other Identifiers 4

Medicaid006113900FL

OtherGI608ZFL · Medicare

Medicaid02456100FL

OtherY0C94FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Wellpoint.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

Michelle E Clark Aprn 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 ID143476853

PECOS Enrollment IDI20120813000562

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

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 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.

46 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers11 claims11 services$16.23 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers20 claims20 services$176.20 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 10

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

KELSIE PHILLIPS

Nurse Practitioner (Family)