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KATE CLARK FNP
NPI 1780052183
Nurse Practitioner - Family in Nampa, ID

Active since September 02, 2015PECOS EnrolledAccepts Medicare Assignment
207 1ST ST S, NAMPA, ID 83651(208) 466-7869(208) 466-5359 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Apr 10, 2023, Mar 17, 2017 (3 updates tracked since 2017).

About Kate Clark Fnp NPPES

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

KATE CLARK FNP (NPI 1780052183) is an individual family provider in Nampa, Idaho, licensed in Idaho (55417) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780052183
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATE CLARKCredential: FNP
Location Address207 1ST ST SNampa, ID 83651-3703
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Phone(208) 466-7869
Fax(208) 466-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 2, 2015
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1780052183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 55417
Also ListedRegistered NurseTaxonomy 163W00000X · License 34742 (ID)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 55417 (ID)
207 1ST ST S, Nampa, ID 83651
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1150 2nd StMelba, ID 83641-5199 · Phone (208) 495-1011 · Fax (208) 495-1012
Location 27941 W Rifleman StBoise, ID 83704-9001 · Phone (208) 895-7950
Location 3847 Parkcentre Way Ste 7Nampa, ID 83651-1794 · Phone (208) 229-6050
Location 46600 W Emerald StBoise, ID 83704-8738 · Phone (208) 609-9020
Location 52335 E State AveMeridian, ID 83642-8808 · Phone (208) 672-1801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan 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 and accepts Medicare assignment

Kate Clark Fnp 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 ID8123396546
PECOS Enrollment IDI20170607002611
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 Kate Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Clinics, Inc.
Same address
Federally Qualified Health Center (FQHC)
207 1ST ST S
Nampa, ID 83651
  • Reassigned Medicare billing, Idaho enrollment
  • 71 clinicians in this Medicare group
NPI 1134527708 (208) 466-7869

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 83651 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSE TYLER MCCHANE MD
Family Medicine
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
DR. BONNA R ORMOND DNP, FNP-BC
Nurse Practitioner (Family)
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
MARICRUZ RODRIGUEZ FNP
Nurse Practitioner (Family)
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
DR. PAUL E BARRUS D.O.
Family Medicine
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
COMMUNITY HEALTH CLINICS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
MUZDALIFA HAMAD
Pharmacist
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 721-5325
TIFFANY BRACKUS FNP
Nurse Practitioner (Family)
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869
ELIZABETH JOHNSON RD
Dietitian, Registered
207 1ST ST S
NAMPA, ID 83651
Canyon County (208) 466-7869

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 Kate Clark's NPI number?

The NPI number for Kate Clark is 1780052183. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Kate Clark located?

Kate Clark practices at 207 1st St S, Nampa, ID 83651. The listed phone number is (208) 466-7869.

What is Kate Clark's specialty?

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

Is Kate Clark enrolled in Medicare?

Yes. Kate 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.

Which organization bills Medicare for Kate Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Clark reassigns Medicare benefits to Community Health Clinics, Inc. (Nampa, ID). 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 Kate Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kate Clark accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Kate 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 Kate Clark was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.