1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Emergency Medicine
  6. NPI Profile

ALYSA MICHELLE CLARK MD
NPI 1356903371
Emergency Medicine - Pediatric Emergency Medicine in Grand Rapids, MI

Active since June 29, 2019PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
100 MICHIGAN ST NE # MC049, GRAND RAPIDS, MI 49503(616) 391-1680 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jul 14, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Alysa Michelle Clark Md NPPES

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

ALYSA MICHELLE CLARK MD (NPI 1356903371) is an individual pediatric emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301504949) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356903371
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameALYSA MICHELLE CLARKCredential: MD
Location Address100 MICHIGAN ST NE # MC049Grand Rapids, MI 49503-2560
Mailing Address4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416 · (616) 975-1845
Phone(616) 391-1680
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 29, 2019
Last NPPES UpdateApril 9, 20243 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1356903371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in MI · 4301504949
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 4351045601 (MI)
100 MICHIGAN ST NE # MC049, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

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

Alysa Michelle Clark Md 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 ID7719216068
PECOS Enrollment IDI20211215002907
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

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.

GILBERT CHRISTIAN NELSON DO
Emergency Medicine
100 MICHIGAN ST NE # MC049
GRAND RAPIDS, MI 49503
Kent County (616) 391-1730
KAITLYN BEELS MD
Emergency Medicine
100 MICHIGAN ST NE # MC049
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680

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 Alysa Clark's NPI number?

The NPI number for Alysa Clark is 1356903371. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Alysa Clark located?

Alysa Clark practices at 100 Michigan St NE # Mc049, Grand Rapids, MI 49503. The listed phone number is (616) 391-1680.

What is Alysa Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Alysa Clark enrolled in Medicare?

Yes. Alysa 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.

What insurance does Alysa Clark accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Alysa 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 Alysa Clark affiliated with any hospitals?

According to CMS data, Alysa Clark is affiliated with Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Alysa Clark was last updated on April 9, 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.