MR. MICHAEL CLARK NP
NPI 1942653688
Nurse Practitioner in Providence, RI
About Mr. Michael Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL CLARK NP (NPI 1942653688) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN01380) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Michael Clark Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Michael Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 201 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 358 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 247 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Michael Clark's NPI number?
The NPI number for Michael Clark is 1942653688. It was assigned to this individual provider in the NPPES registry on July 18, 2016.
Where is Michael Clark located?
Michael Clark practices at 593 Eddy St Apc Suite 523, Providence, RI 02903. The listed phone number is (401) 444-8467.
What is Michael Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Michael Clark enrolled in Medicare?
Yes. Michael 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 organizations bill Medicare for Michael Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to 5 organizations: Brown Emergency Medicine (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA). Each 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 Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Clark affiliated with any hospitals?
According to CMS data, Michael Clark is affiliated with Rhode Island Hospital and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Michael Clark was last updated on November 24, 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.
# Mr. Michael Clark, NP · NPI 1942653688
Nurse Practitioner physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 18, 2016.
## Identity
- **NPI:** 1942653688 (Entity type: Individual)
- **Enumerated:** July 18, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN01380 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, APC SUITE 523, Providence, RI 02903-4923
- **Phone:** (401) 444-8467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Brown Emergency Medicine (NPI 1962455022, Providence, RI); Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI); Rhode Island Hospital (NPI 1154537520, Providence, RI); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1316987993, Boston, MA); Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (NPI 1952358533, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1942653688) · Data from the CMS NPPES public registry.