MR. MICHAEL CLARK FNP-C
NPI 1386170348
Nurse Practitioner - Family in Elko, NV

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1386170348. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Michael Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 May 11, 2017PECOS EnrolledAccepts Medicare Assignment

1993 ERRECART BLVD, ELKO, NV 89801(775) 753-1049(775) 777-8494 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2017, May 11, 2017 (2 updates tracked since 2017).

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About Mr. Michael Clark Fnp-c NPPES

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

MR. MICHAEL CLARK FNP-C (NPI 1386170348) is an individual family provider in Elko, Nevada, licensed in Utah (812262) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2017).

NPPES Registry Identity

NPI1386170348

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MICHAEL CLARKCredential: FNP-C

Location Address1993 ERRECART BLVDElko, NV 89801-8334

Mailing Address317 E 100 NPrice, UT 84501-2504

Phone(775) 753-1049

Fax(775) 777-8494

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1386170348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 812262

Also ListedRegistered NurseTaxonomy 163W00000X · License 7198090-3102 (UT)

1993 ERRECART BLVD, Elko, NV 89801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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. Michael Clark Fnp-c 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 ID4789687013

PECOS Enrollment IDI20241031001245

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 Reassignments

Medicare enrollment records show Michael Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premise Health Of Nevada Medical Hinitt PC

Same address

Family Medicine

1993 ERRECART BLVD
Elko, NV 89801

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Premise Health Of Nevada Medical Hinitt P C
29 clinicians in this Medicare group

NPI 1982708574 (775) 753-1049

Castleview Physician Practices, LLC

272 mi

Family Medicine

90 WEST MAIN STREET
Castle Dale, UT 84513

Reassigned Medicare billing, Utah enrollment
Medicare enrollment name: Castleview Physician Practice LLC
34 clinicians in this Medicare group

NPI 1598082158 (435) 381-2305

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 89801 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

JACOB MICHAEL HEFLEY RN

Registered Nurse (General Practice)