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PAULA FAE CLARK FNP
NPI 1366867400
Nurse Practitioner in Greeley, CO

Active since February 26, 2014PECOS EnrolledAccepts Medicare Assignment
1555 N 17TH AVE, GREELEY, CO 80631(970) 304-6425(970) 304-6416 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula Fae Clark Fnp NPPES

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

PAULA FAE CLARK FNP (NPI 1366867400) is an individual nurse practitioner in Greeley, Colorado, licensed in Colorado (991016) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366867400
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAULA FAE CLARKCredential: FNP
Location Address1555 N 17TH AVEGreeley, CO 80631-9117
Mailing Address2930 11th AveEvans, CO 80620-1011 · (970) 350-4606 · Fax (970) 350-4692
Phone(970) 304-6425
Fax(970) 304-6416
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 26, 2014
Last NPPES UpdateNovember 16, 2016
✔ NPI 1366867400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · 991016
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 76276 (KS)
1555 N 17TH AVE, Greeley, CO 80631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, UnitedHealthcare.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

Paula Fae Clark Fnp 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 ID5294054300
PECOS Enrollment IDI20161230000074
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 Reassignment

Medicare enrollment records show Paula Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunrise Community Health
0.4 mi
Federally Qualified Health Center (FQHC)
1300 N 17TH AVE
Greeley, CO 80631
  • Reassigned Medicare billing, Colorado enrollment
  • 40 clinicians in this Medicare group
NPI 1295041598 (970) 353-9403

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 80631 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

BRITTANY LAIN
Nurse Practitioner
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
LIBERTY DURAN
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
KADIE RUBENSTEIN RN, BSN
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
DEBRA ELAINE PETTIT RN
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
GERALDINE RAE HOLTON RN
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
JENNIFER HUTCHINS-HURST
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
CONNIE MARRS
Registered Nurse
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6420
RAE ANDREWS RN, CNM, MS
Advanced Practice Midwife
1555 N 17TH AVE
GREELEY, CO 80631
Weld County (970) 304-6425

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 Paula Clark's NPI number?

The NPI number for Paula Clark is 1366867400. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Paula Clark located?

Paula Clark practices at 1555 N 17th Ave, Greeley, CO 80631. The listed phone number is (970) 304-6425.

What is Paula Clark's specialty?

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

Is Paula Clark enrolled in Medicare?

Yes. Paula 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 Paula Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Clark reassigns Medicare benefits to Sunrise Community Health (Greeley, CO). 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 Paula Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Clark accept?

Health plans from Select Health and UnitedHealthcare list Paula 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 Paula Clark was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.