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DR. MOLLY MARIE CLARK DNP, FNP-C
NPI 1700358439
Nurse Practitioner - Family in Farwell, MI

Active since December 19, 2018PECOS Enrolled
2812 W CADILLAC DR, FARWELL, MI 48622(989) 588-5050(989) 588-5052 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2022, Dec 19, 2018 (2 updates tracked since 2018).

About Dr. Molly Marie Clark Dnp, Fnp-c NPPES

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

DR. MOLLY MARIE CLARK DNP, FNP-C (NPI 1700358439) is an individual family provider in Farwell, Michigan, licensed in Michigan (4704290182) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1700358439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MOLLY MARIE CLARKCredential: DNP, FNP-C
Location Address2812 W CADILLAC DRFarwell, MI 48622-9757
Mailing Address13409 E 14 Mile RdSterling Heights, MI 48312-6304 · (586) 977-3900 · Fax (586) 977-6084
Phone(989) 588-5050
Fax(989) 588-5052
Sole ProprietorYes
Enumeration DateDecember 19, 2018
Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1700358439 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 MI · 4704290182
2812 W CADILLAC DR, Farwell, MI 48622
Open in Google Maps ↗

Secondary Practice Location 1

Location 113409 E 14 Mile RdSterling Heights, MI 48312-6304 · Phone (586) 977-3900 · Fax (586) 977-6084

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Molly Marie Clark Dnp, Fnp-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.

Medicare Billing Reassignments

4

Medicare enrollment records show Molly Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Group
119 mi
Physical Therapist
44000 W 12 MILE RD STE 205, WSUPG PM&R OAKWOOD
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1336492354 (248) 465-0100
Vedha Health Services PLLC
130 mi
Family Medicine
418 N MAIN ST STE 200
Royal Oak, MI 48067
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group
NPI 1578334058 (248) 200-9240
Brookview Medical Associates, PLLC
640 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Signify Health Medical Associates, PLLC
992 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 48622 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

STACY CARSTENSEN FNP
Nurse Practitioner (Family)
2812 W CADILLAC DR
FARWELL, MI 48622
Clare County (989) 588-5050
MICHAEL J WERTHEIMER MD
Family Medicine
2812 W CADILLAC DR
FARWELL, MI 48622
Clare County (989) 588-5050
KRISTEN HYATT PA-C
Family Medicine
2812 W CADILLAC DR
FARWELL, MI 48622
Clare County (989) 588-5050
MYMICHIGAN MEDICAL CENTER CLARE
Clinic/Center (Rural Health)
2812 W CADILLAC DR
FARWELL, MI 48622
Clare County (989) 588-5055

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 Molly Clark's NPI number?

The NPI number for Molly Clark is 1700358439. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Molly Clark located?

Molly Clark practices at 2812 W Cadillac Dr, Farwell, MI 48622. The listed phone number is (989) 588-5050.

What is Molly Clark's specialty?

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

Is Molly Clark enrolled in Medicare?

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

Which organizations bill Medicare for Molly Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Clark reassigns Medicare benefits to 4 organizations: University Physician Group (Novi, MI), Vedha Health Services PLLC (Royal Oak, MI), Brookview Medical Associates, PLLC (Bohemia, NY) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Molly Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Molly Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) list Molly 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 Molly Clark was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.