MEGAN CLARK (FNP) – Family Nurse Practitioner, NPI 1770200552

MEGAN CLARK (FNP) is a healthcare provider. based in Ypsilanti, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704314552 (MI). The NPI Number for MEGAN CLARK (FNP) is 1770200552

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN CLARK (FNP)
NPI
1770200552
Phone
(544) 022-1734
Address
301 W Michigan Ave Ste 100
Enumeration Date
24 October 2022
Last Update Date
7 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133867500
Graduation Year
2021 (5 years ago)
PAC ID
9830567312
Group Practice PAC ID
9638077621
Professional Enrollment ID
I20221115002609
Address ID
MI481462671LI2255XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MEGAN CLARK (FNP)

  • 301 W Michigan Ave Ste 100

    Ypsilanti, MI 481975378

    Phone: (544) 022-1734

    Type: Location

  • 9051 NEWPORT CREEK RD

    NEWPORT, MI 481667814

    Phone:

    Type: Mailing

  • 21090 ALLEN RD

    WOODHAVEN, MI 481831602

    Phone: (734) 282-1800

    Fax: (734) 287-0777

    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: 2022-11-15

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
I20221115002609INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6550$0
99213Established patient office or other outpatient visit, 20-29 minutes4035$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2018$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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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: 9638077621View full group profile

Reviews

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Frequently asked questions

Where can patients find MEGAN CLARK (FNP)'s NPI?
You can confirm MEGAN CLARK (FNP) with NPI 1770200552; it appears in the national provider directory.
Does this profile mean MEGAN CLARK (FNP) is currently active?
Yes — MEGAN CLARK (FNP) appears active in the national provider directory.
Does MEGAN CLARK (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MEGAN CLARK (FNP). Clinical services aligned with this taxonomy classification.
Where is MEGAN CLARK (FNP)'s primary listing?
We display Ypsilanti, Michigan because that is what the record indicates for MEGAN CLARK (FNP).
What if Ypsilanti, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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