NATISHA IRENE CLARK
NPI 1871957985
Nurse Practitioner - Primary Care in West Bloomfield, MI

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(800) 683-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2022, Feb 13, 2017, Jun 16, 2016 (3 updates tracked since 2016).

About Natisha Irene Clark NPPES

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

NATISHA IRENE CLARK (NPI 1871957985) is an individual primary care provider in West Bloomfield, Michigan, licensed in Michigan (4704278418) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Southgate.

NPPES Registry Identity

NPI1871957985
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNATISHA IRENE CLARK
Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1871957985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704278418
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278418 (MI)
6777 W MAPLE RD, West Bloomfield, MI 48322

Secondary Practice Location 1

Location 115150 Fort StSouthgate, MI 48195-1302 · Phone (734) 282-4800 · Fax (734) 282-5039

Other Identifiers 2

Medicaid1871957985MI
Other1871957985MI · Blue Cross Blue Sheild

Accepted 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

Natisha Irene Clark 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 ID2668767542
PECOS Enrollment IDI20160817002423
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 6

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 care with moderate level of medical decision making, if using time, at least 75 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.
92 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Psychologist (Clinical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Advanced Practice Midwife
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Social Worker (Clinical)
6777 W MAPLE RD
W BLOOMFIELD, MI 48322
General Acute Care Hospital
6777 W MAPLE RD, HENRY FORD HEALTH SYSTEM CARDIOLOGY
WEST BLOOMFIELD, MI 48322
Social Worker
6777 W MAPLE RD
W BLOOMFIELD, MI 48322
Pharmacy Technician
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Pharmacist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322

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 Natisha Clark's NPI number?

The NPI number for Natisha Clark is 1871957985. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Natisha Clark located?

Natisha Clark practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (800) 683-6568.

What is Natisha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Natisha Clark enrolled in Medicare?

Yes. Natisha 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.

What insurance does Natisha Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Natisha 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.

Is Natisha Clark affiliated with any hospitals?

According to CMS data, Natisha Clark is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Natisha Clark was last updated on November 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.