MAKENNA CHRISTIE CLARK
NPI 1992435697
Nurse Anesthetist, Certified Registered in Seattle, WA

Active since June 15, 2022Accepts Medicare Assignment
1959 NE PACIFIC ST., SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Jul 21, 2022, Jul 7, 2022 (3 updates tracked since 2022).

About Makenna Christie Clark NPPES

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

MAKENNA CHRISTIE CLARK (NPI 1992435697) is an individual nurse anesthetist, certified registered in Seattle, Washington, licensed in Washington (AP61503436) and active in the NPI registry since June 2022. She is affiliated with University Of Washington Medical Ctr, maintains a secondary practice location in Seattle, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992435697
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMAKENNA CHRISTIE CLARK
Location Address1959 NE PACIFIC ST.Seattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1992435697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WA · AP61503436
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1959 NE PACIFIC ST., Seattle, WA 98195

Secondary Practice Location 1

Location 11550 N 115th StSeattle, WA 98133-8401 · Phone (206) 520-5000

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

Makenna Christie Clark 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 ID1254714769
PECOS Enrollment IDI20240520002530

Medicare Billing Reassignments

3

Medicare enrollment records show Makenna Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
11800 NE 128TH ST, SUITE 100
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 61 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Washington enrollment
  • 56 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 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

Plastic Surgery
1959 NE PACIFIC ST., DEPARTMENT OF SURGERY - DIVISION OF PLASTIC SURGERY
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Urology
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Family Medicine
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST., BOX 356159
SEATTLE, WA 98195
Nurse Practitioner (Women's Health)
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST., BOX 356460
SEATTLE, WA 98195

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 Makenna Clark's NPI number?

The NPI number for Makenna Clark is 1992435697. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Makenna Clark located?

Makenna Clark practices at 1959 NE Pacific St., Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is Makenna Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Makenna Clark enrolled in Medicare?

Yes. Makenna 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 Makenna Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makenna Clark reassigns Medicare benefits to 3 organizations: The Association Of University Physicians (Seattle, WA), Lake Washington Anesthesia PLLC (Kirkland, WA) and Anesthesia Dynamics LLC (Bradenton, FL). 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 Makenna Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Makenna Clark accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Makenna 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.

Is Makenna Clark affiliated with any hospitals?

According to CMS data, Makenna Clark is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Makenna Clark was last updated on June 25, 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.