1. Home
  2. Directory
  3. Oregon
  4. La Grande
  5. Nurse Practitioner
  6. NPI Profile

MACEY CLARK PNP-C, AGNP-C
NPI 1417483553
Nurse Practitioner - Family in La Grande, OR

Active since May 10, 2017PECOS Enrolled
710 SUNSET DR, SUITE E, LA GRANDE, OR 97850(541) 962-5600 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, May 10, 2017 (2 updates tracked since 2017).

About Macey Clark Pnp-c, Agnp-c NPPES

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

MACEY CLARK PNP-C, AGNP-C (NPI 1417483553) is an individual family provider in La Grande, Oregon, licensed in Oregon (201704371NP-PP) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Union.

NPPES Registry Identity

NPI1417483553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACEY CLARKCredential: PNP-C, AGNP-C
Location Address710 SUNSET DR, SUITE ELa Grande, OR 97850-1200
Mailing AddressPo Box 3290La Grande, OR 97850-7290 · (541) 963-1967 · Fax (541) 963-1837
Phone(541) 962-5600
Sole ProprietorNo
Enumeration DateMay 10, 2017
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1417483553 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 OR · 201704371NP-PP
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 201704371NP-PP (OR)
710 SUNSET DR, La Grande, OR 97850
Open in Google Maps ↗

Secondary Practice Location 1

Location 1142 E Dearborn StUnion, OR 97883-9174 · Phone (541) 562-6180 · Fax (541) 562-6186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 (PECOS)

Macey Clark Pnp-c, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 8

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

MICHAEL JOSEPH STURMAK CCC-A
Audiologist-Hearing Aid Fitter
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 963-8643
JOHN SCHAEFER MD PC
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Union County (541) 963-4139
JOSEPH L. PETRUSEK, M.D., P.C.
Otolaryngology
710 SUNSET DR, STE. D
LA GRANDE, OR 97850
Union County (541) 963-8643
KIM R. MONTEE, M.D., P.C.
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Union County (541) 963-4139
DR. JOSEPH LOUIS PETRUSEK M.D., P.C.
Otolaryngology
710 SUNSET DR, STE. D
LA GRANDE, OR 97850
Union County (541) 963-8643
DONALD O. WARREN M.D.
Orthopaedic Surgery
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3100
NICHOLAS GABRIEL VECE QMHA-I
Case Manager/Care Coordinator
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3150
DR. LESLIE W JACKSON MD
Internal Medicine (Rheumatology)
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3000

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 Macey Clark's NPI number?

The NPI number for Macey Clark is 1417483553. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Macey Clark located?

Macey Clark practices at 710 Sunset Dr Suite E, La Grande, OR 97850. The listed phone number is (541) 962-5600.

What is Macey Clark's specialty?

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

Is Macey Clark enrolled in Medicare?

Yes. Macey Clark is registered in the Medicare PECOS enrollment system.

What insurance does Macey Clark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Macey 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 Macey Clark was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.