CLINT PAKKALA NP
NPI 1326548157
Nurse Practitioner in Laurium, MI

Q: What is Clint Pakkala's NPI number?

The NPI number for Clint Pakkala is 1326548157. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is Clint Pakkala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Clint Pakkala was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 19, 2018PECOS EnrolledAccepts Medicare Assignment

205 OSCEOLA ST, LAURIUM, MI 49913(906) 337-6500 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Clint Pakkala Np NPPES

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

CLINT PAKKALA NP (NPI 1326548157) is an individual nurse practitioner in Laurium, Michigan, licensed in Michigan (4704285427) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326548157

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCLINT PAKKALACredential: NP

Location Address205 OSCEOLA STLaurium, MI 49913-2134

Mailing Address1031 Ash StHancock, MI 49930-1150 · (906) 281-7190

Phone(906) 337-6500

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 19, 2018

✔ NPI 1326548157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704285427

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

205 OSCEOLA ST, Laurium, MI 49913

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

Clint Pakkala Np 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 ID2860755832

PECOS Enrollment IDI20180405000267

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.

Medicare Billing Reassignments

Medicare enrollment records show Clint Pakkala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Keweenaw

Same address

Rural Health

205 OSCEOLA STREET
Laurium, MI 49913

Reassigned Medicare billing, Michigan enrollment
210 clinicians in this Medicare group

NPI 1205998713 (906) 337-6580

Dickinson County Healthcare System

68 mi

Internal Medicine

1414 W FAIR AVE, STE 334
Marquette, MI 49855

Reassigned Medicare billing, Michigan enrollment
136 clinicians in this Medicare group

NPI 1710693346 (906) 225-4500

Aspirus Iron River Hospital & Clinics, Inc.

71 mi

Hospice Care, Community Based

3257 E US HIGHWAY 2
Iron River, MI 49935

Reassigned Medicare billing, Michigan enrollment
200 clinicians in this Medicare group

NPI 1609066356 (906) 265-6118

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 9

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 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.

106 services85 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.

86 services83 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

78 services61 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

58 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230055

Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County

Emergency services Birthing friendly

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231318

Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49913 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MR. MARK PHILIP BROWN PA-C

Physician Assistant