MICHELLE RUTH CLARK PA-C
NPI 1750805982
Physician Assistant in Portland, ME
About Michelle Ruth Clark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE RUTH CLARK PA-C (NPI 1750805982) is an individual physician assistant in Portland, Maine, licensed in Maine (PAN1716) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2017).
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 and accepts Medicare assignment
Michelle Ruth Clark Pa-c 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Health
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04101 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 20
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 Michelle Clark's NPI number?
The NPI number for Michelle Clark is 1750805982. It was assigned to this individual provider in the NPPES registry on July 30, 2017.
Where is Michelle Clark located?
Michelle Clark practices at 144 State St, Portland, ME 04101. The listed phone number is (207) 899-5322.
What is Michelle Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michelle Clark enrolled in Medicare?
Yes. Michelle 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.
Is Michelle Clark affiliated with any hospitals?
According to CMS data, Michelle Clark is affiliated with Northern Light Health.
When was this NPI record last updated?
The NPPES record for Michelle Clark was last updated on July 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Michelle Ruth Clark, PA-C · NPI 1750805982
Physician Assistant physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since July 30, 2017.
## Identity
- **NPI:** 1750805982 (Entity type: Individual)
- **Enumerated:** July 30, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PAN1716 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 144 STATE ST, Portland, ME 04101-3776
- **Phone:** (207) 899-5322
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1750805982) · Data from the CMS NPPES public registry.