MATTHEW CLARK
NPI 1689556201
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA
About Matthew Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW CLARK (NPI 1689556201) is an individual psychiatric/mental health provider in Olympia, Washington, licensed in Washington (AP61636762) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Clark's NPI number?
The NPI number for Matthew Clark is 1689556201. It was assigned to this individual provider in the NPPES registry on July 24, 2025.
Where is Matthew Clark located?
Matthew Clark practices at PO Box 257, Olympia, WA 98507. The listed phone number is (206) 208-8957.
What is Matthew Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matthew Clark enrolled in Medicare?
Yes. Matthew Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Clark was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Matthew Clark · NPI 1689556201
Psychiatric/Mental Health physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since July 24, 2025.
## Identity
- **NPI:** 1689556201 (Entity type: Individual)
- **Enumerated:** July 24, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61636762 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 257, Olympia, WA 98507-0257
- **Phone:** (206) 208-8957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 5, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1689556201) · Data from the CMS NPPES public registry.