BRENT CLARK FNP, NP-C
NPI 1952830226
Nurse Practitioner - Family in Eagle River, AK
About Brent Clark Fnp, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT CLARK FNP, NP-C (NPI 1952830226) is an individual family provider in Eagle River, Alaska, licensed in Alaska (122126) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Brent Clark Fnp, Np-c 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
2Medicare enrollment records show Brent Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anchorage, AK 99504
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brent Clark's NPI number?
The NPI number for Brent Clark is 1952830226. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is Brent Clark located?
Brent Clark practices at 17101 Snowmobile Ln Ste 114, Eagle River, AK 99577. The listed phone number is (907) 562-2211.
What is Brent Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brent Clark enrolled in Medicare?
Yes. Brent 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 Brent Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Clark reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Anchorage, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Brent Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brent Clark accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Brent 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.
When was this NPI record last updated?
The NPPES record for Brent Clark was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Brent Clark, FNP, NP-C · NPI 1952830226
Family physician in Eagle River, Alaska. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1952830226 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 122126 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 17101 SNOWMOBILE LN STE 114, Eagle River, AK 99577-7043
- **Phone:** (907) 562-2211
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Southcentral Foundation (NPI 1306503578, Anchorage, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952830226) · Data from the CMS NPPES public registry.