MR. JEREMIAH ROBINS CLARK FNP-BC
NPI 1356123657
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID
About Mr. Jeremiah Robins Clark Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEREMIAH ROBINS CLARK FNP-BC (NPI 1356123657) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (77813) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Mr. Jeremiah Robins Clark Fnp-bc 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 Reassignment
Medicare enrollment records show Jeremiah Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Meridan, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 39 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Jeremiah Clark's NPI number?
The NPI number for Jeremiah Clark is 1356123657. It was assigned to this individual provider in the NPPES registry on October 20, 2023.
Where is Jeremiah Clark located?
Jeremiah Clark practices at 1526 W Ustick Rd Ste 110, Meridian, ID 83646. The listed phone number is (208) 370-5888.
What is Jeremiah Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jeremiah Clark enrolled in Medicare?
Yes. Jeremiah 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 Jeremiah Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Clark reassigns Medicare benefits to Meridian Advanced Psychiatry , LLC (Meridan, ID). 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 Jeremiah Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremiah Clark accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Select Health list Jeremiah 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 Jeremiah Clark was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mr. Jeremiah Robins Clark, FNP-BC · NPI 1356123657
Psychiatric/Mental Health physician in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since October 20, 2023.
## Identity
- **NPI:** 1356123657 (Entity type: Individual)
- **Enumerated:** October 20, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 77813 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1526 W USTICK RD STE 110, Meridian, ID 83646-7741
- **Phone:** (208) 370-5888 · **Fax:** (206) 717-7104
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Meridian Advanced Psychiatry , LLC (NPI 1609412683, Meridan, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356123657) · Data from the CMS NPPES public registry.