TERRANCE ALAN CLARKE (FNP) – Nurse Practitioner, NPI 1699184515

TERRANCE ALAN CLARKE (FNP) is a healthcare provider. based in Springfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2281720 (MA). The NPI Number for TERRANCE ALAN CLARKE (FNP) is 1699184515

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TERRANCE ALAN CLARKE (FNP)
NPI
1699184515
Phone
(413) 732-0040
Address
80 CONGRESS STREET
Enumeration Date
5 August 2014
Last Update Date
15 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4134472351
Graduation Year
2014 (12 years ago)
PAC ID
2961727227
Group Practice PAC ID
5799746608
Professional Enrollment ID
I20190131002708
Address ID
MA012015493PI510XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for TERRANCE ALAN CLARKE (FNP)

  • 80 CONGRESS STREET

    SUITE 104 EXPERIENCE WELLNESS CENTERS LLC

    SPRINGFIELD, MA 01104

    Phone: (413) 732-0040

    Fax: (413) 732-7007

    Type: Mailing

  • P.O. BOX 30

    GREAT BARRINGTON, MA 01230

    Phone: (413) 528-9311

    Fax: (413) 644-0274

    Type: Mailing

  • CHP LEE FAMILY PRACTICE

    11 QUARRY HILL ROAD

    LEE, MA 01238

    Phone: (413) 243-0536

    Fax: (413) 243-8040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-02-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150206002072INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85610Blood test, clotting time7114$0
96127Assessment of emotional or behavioral problems5449$0
81003Automated urinalysis test2020$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2020$0
69209Removal of impacted ear wax by washing1917$0
View full utilization report →

Insurance plans in this area (ZIP 01104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799746608View full group profile
NameSpecialtyState
Nurse PractitionerOR
-MA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMA
Family PracticeMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What federal number belongs to TERRANCE ALAN CLARKE (FNP)?
The federal identifier for TERRANCE ALAN CLARKE (FNP) is NPI 1699184515.
Does this profile mean TERRANCE ALAN CLARKE (FNP) is currently active?
Yes — TERRANCE ALAN CLARKE (FNP) appears active in the national provider directory.
What field does TERRANCE ALAN CLARKE (FNP) work in?
You can think of TERRANCE ALAN CLARKE (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TERRANCE ALAN CLARKE (FNP)'s primary listing?
We display Springfield, Massachusetts because that is what the record indicates for TERRANCE ALAN CLARKE (FNP).
Is TERRANCE ALAN CLARKE (FNP) a real provider?
This page reflects official NPPES data for NPI 1699184515. Always confirm identity and privileges with the practice and licensing boards.

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