MICHELLE RUTH CLARK PA-C
NPI 1750805982
Physician Assistant in Portland, ME

Active since July 30, 2017PECOS EnrolledAccepts Medicare Assignment
144 STATE ST, PORTLAND, ME 04101(207) 899-5322 Get Directions Write a Review

NPPES record last updated: July 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750805982
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE RUTH CLARKCredential: PA-C
Location Address144 STATE STPortland, ME 04101-3776
Mailing Address77 Danforth St Apt 2Portland, ME 04101-3588
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2017
NPI 1750805982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PAN1716
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

144 STATE ST, Portland, ME 04101

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.

PECOS PAC ID4789940065
PECOS Enrollment IDI20171102003127
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.

Areas of Expertise CMS Part B claims

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.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients

Physician 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.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

Internal Medicine
144 STATE ST
PORTLAND, ME 04101
Radiology (Diagnostic Radiology)
144 STATE ST
PORTLAND, ME 04101
Radiology (Diagnostic Radiology)
144 STATE ST
PORTLAND, ME 04101
Radiology (Diagnostic Radiology)
144 STATE ST
PORTLAND, ME 04101
Radiology (Diagnostic Radiology)
144 STATE ST
PORTLAND, ME 04101
Internal Medicine (Infectious Disease)
144 STATE ST
PORTLAND, ME 04101
Family Medicine
144 STATE ST
PORTLAND, ME 04101
Physician Assistant
144 STATE ST
PORTLAND, ME 04101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750805982, enumerated as an "individual" on July 30, 2017.

The provider is located at 144 STATE ST PORTLAND, ME 04101 and the phone number is (207) 899-5322.

Physician Assistant with taxonomy code 363A00000X.