Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA MARIE CLARK
NPI 1609748276
Nurse Practitioner - Family in Spokane Valley, WA

Q: What is Tina Clark's NPI number?

The NPI number for Tina Clark is 1609748276. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Q: What is Tina 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 Tina Clark was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 September 22, 2025PECOS Enrolled

1212 N PINES RD, SPOKANE VALLEY, WA 99206(509) 893-8140 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tina Marie Clark NPPES

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

TINA MARIE CLARK (NPI 1609748276) is an individual family provider in Spokane Valley, Washington, licensed in Washington (ARNP.AP.70120514-NP) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609748276

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA MARIE CLARK

Location Address1212 N PINES RDSpokane Valley, WA 99206-4939

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114

Phone(509) 893-8140

Sole ProprietorYes

Enumeration DateSeptember 22, 2025

Last NPPES UpdateAugust 11, 2026

NPPES CertifiedAugust 11, 2026

✔ NPI 1609748276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in WA · ARNP.AP.70120514-NP

1212 N PINES RD, Spokane Valley, WA 99206

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Marie Clark 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 99206 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

KEISHA ENGLEY RD

Dietitian, Registered