Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK LAWRENCE CLELLAND CNP
NPI 1912837865
Nurse Practitioner in Coeur D Alene, ID

Active since May 21, 2026PECOS Enrolled
1090 W PARK PL, COEUR D ALENE, ID 83814(208) 620-5250(208) 667-2638 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, May 21, 2026 (2 updates tracked since 2026).

About Mark Lawrence Clelland Cnp NPPES

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

MARK LAWRENCE CLELLAND CNP (NPI 1912837865) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (3281736) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912837865
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK LAWRENCE CLELLANDCredential: CNP
Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785
Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 625-2070
Fax(208) 667-2638
Sole ProprietorNo
Enumeration DateMay 21, 2026
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1912837865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 3281736
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3281736 (ID)
1090 W PARK PL, Coeur D Alene, ID 83814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Lawrence Clelland Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

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.

Nurse Practitioner (Pediatrics)
1090 W PARK PL
COEUR D ALENE, ID 83814
Family Medicine
1090 W PARK PL
COEUR D ALENE, ID 83814
Pharmacy
1090 W PARK PL
COEUR D ALENE, ID 83814
Dietitian, Registered
1090 W PARK PL
COEUR D ALENE, ID 83814
Physician Assistant
1090 W PARK PL
COEUR D ALENE, ID 83814
Nurse Practitioner (Family)
1090 W PARK PL
COEUR D ALENE, ID 83814
Nurse Practitioner (Family)
1090 W PARK PL
COEUR D ALENE, ID 83814
Nurse Practitioner
1090 W PARK PL
COEUR D ALENE, ID 83814

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 Mark Clelland's NPI number?

The NPI number for Mark Clelland is 1912837865. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Mark Clelland located?

Mark Clelland practices at 1090 W Park Pl, Coeur D Alene, ID 83814. The listed phone number is (208) 620-5250.

What is Mark Clelland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Clelland enrolled in Medicare?

Yes. Mark Clelland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Clelland was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.