AMANDA MARIE CLARK RN
NPI 1952016941
Nurse Practitioner - Family in Flint, MI

Q: What is Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1952016941. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Q: What is Amanda Clark'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 Amanda Clark was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 January 16, 2023PECOS Enrolled

303 E KEARSLEY ST, FLINT, MI 48502(810) 762-3300 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Jan 16, 2023 (2 updates tracked since 2023).

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About Amanda Marie Clark Rn NPPES

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

AMANDA MARIE CLARK RN (NPI 1952016941) is an individual family provider in Flint, Michigan, licensed in Michigan (4704299836) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952016941

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA MARIE CLARKCredential: RN

Location Address303 E KEARSLEY STFlint, MI 48502-1907

Mailing Address1910 N Wilson AveRoyal Oak, MI 48073-4221 · (586) 255-2550

Phone(810) 762-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 16, 2023

Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1952016941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704299836

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704299836 (MI)

303 E KEARSLEY ST, Flint, MI 48502

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Marie Clark Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517499221

PECOS Enrollment IDI20241019000148

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.

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.

23 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48502 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

REBECCA SPALO

Nurse Practitioner (Acute Care)