MICHELLE E. CLARK APRN
NPI 1376067124
Nurse Practitioner in Ravenna, NE

Q: What is Michelle Clark's NPI number?

The NPI number for Michelle Clark is 1376067124. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Michelle Clark'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 Michelle Clark was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment

104 W SENECA ST, RAVENNA, NE 68869(308) 452-3203(308) 452-3794 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Aug 2, 2017 (2 updates tracked since 2017).

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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 1376067124) is an individual nurse practitioner in Ravenna, Nebraska, licensed in Nebraska (112270) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376067124

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHELLE E. CLARKCredential: APRN

Location Address104 W SENECA STRavenna, NE 68869-1363

Mailing Address104 W Seneca StRavenna, NE 68869-1363 · (308) 452-3203 · Fax (308) 452-3794

Phone(308) 452-3203

Fax(308) 452-3794

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 2, 2017

Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1376067124 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 NE · 112270

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.

104 W SENECA ST, Ravenna, NE 68869

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 ID2264706076

PECOS Enrollment IDI20170918002032

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 4

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.

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

36 services32 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

21 services15 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

18 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280009

LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County

Emergency services Birthing friendly

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280023

Location2620 West Faidley AveGrand Island, NE 68803 · Hall County

Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE

4/5 CMS rating

OwnershipProprietary

CMS Certification Number280134

Location804 22nd AvenueKearney, NE 68845 · Buffalo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68869 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers13 claims21 services$6.29 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers15 claims86 services$2.92 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$56.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

FIRST CARE MEDICAL, PC

Clinic/Center