MR. RODNEY JAMES CLARK (ARNP) – Family Nurse Practitioner, NPI 1417443953
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for MR. RODNEY JAMES CLARK (ARNP)
100, South 1st Avenue, Marshalltown, Marshall County, Iowa, 50158, United States
MARSHALLTOWN, IA 501585032
Phone: (641) 753-2150
Type: Location
5921 SE 14TH ST STE 2500
DES MOINES, IA 503201747
Phone: (515) 287-5757
Type: Location
Lake Drive, West Lakes Office Park, West Des Moines, Dallas County, Iowa, 50398, United States
WEST DES MOINES, IA 502662544
Phone: (515) 226-3116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 265 Open Payments records for all available years, with a total value of $16,435.
Total Amount is formed as General ($16,435) + Research ($0) + Ownership ($0) = $16,435.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($7,493).
Total Amount
$16,435
General + Research + Ownership
Payments
265
Total payment records
General Amount
$16,435
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $7,493 |
| Lilly USA, LLC | $4,665 |
| ABBVIE INC. | $1,061 |
| Janssen Biotech, Inc. | $595 |
| UCB, Inc. | $457 |
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: 2018-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20181030000590 | I | Nurse Practitioner | IA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,091 | 171 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 298 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 270 | 209 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 233 | 170 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 220 | 193 | $0 |
Insurance plans in this area (ZIP 50158)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| D E R M A T O L O G Y | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| D E R M A T O L O G Y | KS | |
| Nurse Practitioner | IA |
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