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

Q: 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.

Q: What is Molly 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 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 3 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.

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: August 09, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

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.

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.

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 3 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.