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ERIN NOELLE CLARK
NPI 1770177941
Nurse Practitioner - Pediatrics in Grants Pass, OR

Active since February 26, 2021PECOS Enrolled
495 SW RAMSEY AVE, GRANTS PASS, OR 97527(541) 476-6644 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erin Noelle Clark NPPES

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

ERIN NOELLE CLARK (NPI 1770177941) is an individual pediatrics provider in Grants Pass, Oregon, licensed in Oregon (202101839NP-PP) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770177941
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameERIN NOELLE CLARK
Location Address495 SW RAMSEY AVEGrants Pass, OR 97527-5681
Mailing Address275 Westwood DrGrants Pass, OR 97527-7231 · (541) 660-0169
Phone(541) 476-6644
Sole ProprietorNo
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1770177941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 202101839NP-PP
495 SW RAMSEY AVE, Grants Pass, OR 97527
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Noelle Clark 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 Reassignment

Medicare enrollment records show Erin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grants Pass Clinic LLP
Same address
Internal Medicine
495 RAMSEY AVE
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 27 clinicians in this Medicare group
NPI 1760418032 (541) 476-6644

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 97527 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

DR. MONIKA FROEHLICH D.P.M.
Podiatrist
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
DR. DANIEL S SELINGER M.D.
Internal Medicine (Infectious Disease)
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
DR. JOHN DAVID WILSON MD
Family Medicine
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
ALLIE BRIANNE BRIESKE
Physician Assistant
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
MR. BENJAMIN MOSS PA-C
Physician Assistant
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
DR. JOHN SPENCER COUNTISS M.D.
Internal Medicine
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
DR. THEO HERBERT POWELL M.D.
Surgery
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644
MR. STEVEN HEWES EDDY FNP
Nurse Practitioner (Family)
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Josephine County (541) 476-6644

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 Erin Clark's NPI number?

The NPI number for Erin Clark is 1770177941. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Erin Clark located?

Erin Clark practices at 495 SW Ramsey Ave, Grants Pass, OR 97527. The listed phone number is (541) 476-6644.

What is Erin Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Erin Clark enrolled in Medicare?

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

Which organization bills Medicare for Erin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Clark reassigns Medicare benefits to Grants Pass Clinic LLP (Grants Pass, OR). The 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 Erin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Clark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Erin 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 Erin Clark was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.