CALVIN CLARKE
NPI 1851761027
Nurse Practitioner - Family in Puyallup, WA

Q: What is Calvin Clarke's NPI number?

The NPI number for Calvin Clarke is 1851761027. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Q: What is Calvin Clarke'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 Calvin Clarke was last updated on September 11, 2020. 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.

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment

11019 CANYON RD E STE A, PUYALLUP, WA 98373(253) 537-0293(253) 537-7650 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2020, Nov 20, 2018, Oct 1, 2015 (3 updates tracked since 2015).

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About Calvin Clarke NPPES

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

CALVIN CLARKE (NPI 1851761027) is an individual family provider in Puyallup, Washington, licensed in Washington (AP60498791) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1851761027

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCALVIN CLARKE

Location Address11019 CANYON RD E STE APuyallup, WA 98373-3001

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (253) 537-0293 · Fax (253) 537-7650

Phone(253) 537-0293

Fax(253) 537-7650

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 1, 2015

Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1851761027 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 WA · AP60498791

11019 CANYON RD E STE A, Puyallup, WA 98373

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Secondary Practice Location 1

Location 11011 E Main, Suite 302Puyallup, WA 98372-6779 · Phone (253) 841-2471 · Fax (253) 841-2472

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Calvin Clarke 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 ID5193034783

PECOS Enrollment IDI20151021003238

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 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.

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

38 services19 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98373 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers22 claims89 services$5.99 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers14 claims14 services$27.26 avg. paid by Medicare

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

9 suppliers73 claims73 services$180.19 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 9

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

TAELIN LANIER RD, CD

Dietitian, Registered