DEVIN CLARK MD
NPI 1376239095
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Devin Clark's NPI number?

The NPI number for Devin Clark is 1376239095. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Devin Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Devin Clark was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 14, 2023PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(651) 220-6000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Apr 14, 2023 (2 updates tracked since 2023).

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About Devin Clark Md NPPES

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

DEVIN CLARK MD (NPI 1376239095) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2023).

NPPES Registry Identity

NPI1376239095

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDEVIN CLARKCredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2450 Riverside Ave Fl M1361Minneapolis, MN 55454-1450 · (612) 624-4477

Phone(651) 220-6000

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2023

Enumeration DateApril 14, 2023

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1376239095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2525 CHICAGO AVE, Minneapolis, MN 55404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devin Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284093949

PECOS Enrollment IDI20251015001444

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 Devin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services

1.4 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)