BRENT CLARK FNP, NP-C
NPI 1952830226
Nurse Practitioner - Family in Eagle River, AK

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
82.67/100
CMS Quality Rating
17101 SNOWMOBILE LN STE 114, EAGLE RIVER, AK 99577(907) 562-2211 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2022, Mar 10, 2022, Feb 28, 2022 and 4 more (7 updates tracked since 2017).

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

NPI1952830226
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRENT CLARKCredential: FNP, NP-C
Location Address17101 SNOWMOBILE LN STE 114Eagle River, AK 99577-7043
Mailing Address2440 E Tudor Rd # 781Anchorage, AK 99507-1185 · (907) 545-4531
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateJanuary 8, 20247 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
NPI 1952830226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AK · 122126
17101 SNOWMOBILE LN STE 114, Eagle River, AK 99577

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

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.

PECOS PAC ID6901137199
PECOS Enrollment IDI20240304000228
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

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 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.
30 services15 patients

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.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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.

82.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.32
Promoting Interoperability96
Improvement Activities40
Cost71.26

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
17101 SNOWMOBILE LN STE 114
EAGLE RIVER, AK 99577

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.

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.