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CURTIS CLARK ACNP
NPI 1962806786
Nurse Practitioner - Acute Care in Riverton, UT

Active since October 22, 2014PECOS Enrolled
4063 W 12600 S # SABS, RIVERTON, UT 84096(801) 935-8180(801) 931-2307 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Curtis Clark Acnp NPPES

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

CURTIS CLARK ACNP (NPI 1962806786) is an individual acute care provider in Riverton, Utah, licensed in Utah (5609506-4405) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962806786
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameCURTIS CLARKCredential: ACNP
Location Address4063 W 12600 S # SABSRiverton, UT 84096-7302
Mailing Address4063 W 12600 S # SabsRiverton, UT 84096-7302 · (801) 935-8180 · Fax (801) 931-2307
Phone(801) 935-8180
Fax(801) 931-2307
Sole ProprietorNo
Enumeration DateOctober 22, 2014
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1962806786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in UT · 5609506-4405
4063 W 12600 S # SABS, Riverton, UT 84096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Curtis Clark Acnp 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Curtis Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep And Breathe Specialists
Same address
Medical Specialty
4063 W 12600 S # SABS
Riverton, UT 84096
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1366806440 (801) 935-8180
Western Medical Consultants
3.7 mi
Internal Medicine
822 E GOLDEN PHEASANT DR
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 17 clinicians in this Medicare group
NPI 1790175073 (801) 550-1121
Woundtech Of Utah, Inc.
19 mi
Infectious Disease
517 D ST
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1750922415 (954) 923-7440
Signify Health, LLC
986 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona, Idaho and Utah enrollments
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 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.
56 services35 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.
40 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. GARRETT REED BIRD MD, CM
Internal Medicine (Sleep Medicine)
4063 W 12600 S # SABS
RIVERTON, UT 84096
Salt Lake County (801) 935-8180
SLEEP AND BREATHE SPECIALISTS
Clinic/Center (Medical Specialty)
4063 W 12600 S # SABS
RIVERTON, UT 84096
Salt Lake County (801) 935-8180

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 Curtis Clark's NPI number?

The NPI number for Curtis Clark is 1962806786. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Curtis Clark located?

Curtis Clark practices at 4063 W 12600 S # Sabs, Riverton, UT 84096. The listed phone number is (801) 935-8180.

What is Curtis Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Curtis Clark enrolled in Medicare?

Yes. Curtis Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Curtis Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Curtis Clark reassigns Medicare benefits to 4 organizations: Sleep And Breathe Specialists (Riverton, UT), Western Medical Consultants (Draper, UT), Woundtech Of Utah, Inc. (Salt Lake City, UT) and Signify Health, LLC (Dallas, TX). 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 Curtis Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Curtis Clark was last updated on December 5, 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.