CLARK JOSEPH WYATT (NP-C) – Family Nurse Practitioner, NPI 1215448246
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for CLARK JOSEPH WYATT (NP-C)
1131 COLE ST
KIMBERLY, ID 833415138
Phone: (208) 490-1901
Type: Mailing
1502 LOCUST ST N STE 600
TWIN FALLS, ID 833014164
Phone: (208) 734-6091
Fax: (208) 734-4654
Type: Location
Twin Falls, Twin Falls County, Idaho, 83301, United States
TWIN FALLS, ID 833013370
Phone: (208) 736-7422
Fax: (208) 736-8905
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 105 Open Payments records for all available years, with a total value of $3,107.
Total Amount is formed as General ($3,107) + Research ($0) + Ownership ($0) = $3,107.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Genentech USA, Inc. ($893).
Total Amount
$3,107
General + Research + Ownership
Payments
105
Total payment records
General Amount
$3,107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $893 |
| Grifols USA, LLC | $534 |
| GlaxoSmithKline, LLC. | $424 |
| AstraZeneca Pharmaceuticals LP | $282 |
| Regeneron Healthcare Solutions, Inc. | $205 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180319002478 | I | Nurse Practitioner | ID | TBD |
| I20190621002711 | I | Nurse Practitioner | NV | TBD |
| I20230718002359 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,008 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 80 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 78 | 21 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 65 | 47 | $0 |
| Q3014 | Telehealth originating site facility fee | 44 | 31 | $0 |
Insurance plans in this area (ZIP 83341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | MD | |
| Internal Medicine, Allergy/Immunology | ID | |
| Nurse Practitioner | ID | |
| Allergy/Immunology, Pediatric Medicine | ID |
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