GREGORY P CLARK APN
NPI 1497322408
Nurse Practitioner - Family in Fort Collins, CO
About Gregory P Clark Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY P CLARK APN (NPI 1497322408) is an individual family provider in Fort Collins, Colorado, licensed in Colorado (APN.0996672-NP) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Collins, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Gregory P Clark Apn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gregory Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Collins, CO 80524
- Reassigned Medicare billing, Colorado enrollment
- 162 clinicians in this Medicare group
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
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 Gregory Clark's NPI number?
The NPI number for Gregory Clark is 1497322408. It was assigned to this individual provider in the NPPES registry on June 8, 2021.
Where is Gregory Clark located?
Gregory Clark practices at 4674 Snow Mesa Dr Ste 100, Fort Collins, CO 80528. The listed phone number is (970) 482-3712.
What is Gregory Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gregory Clark enrolled in Medicare?
Yes. Gregory 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 organizations bill Medicare for Gregory Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Clark reassigns Medicare benefits to 2 organizations: Poudre Valley Health Care Inc. (Fort Collins, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). Each 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 Gregory Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregory Clark accept?
Health plans from Select Health and UnitedHealthcare list Gregory 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 Gregory Clark was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gregory P Clark, APN · NPI 1497322408
Family physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1497322408 (Entity type: Individual)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0996672-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 4674 SNOW MESA DR STE 100, Fort Collins, CO 80528-8614
- **Phone:** (970) 482-3712
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Poudre Valley Health Care Inc. (NPI 1760492714, Fort Collins, CO); Poudre Valley Medical Group, LLC (NPI 1225356868, Loveland, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497322408) · Data from the CMS NPPES public registry.