MICHELLE E. CLARK (APRN) – Nurse Practitioner, NPI 1376067124
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
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Provider Addresses for MICHELLE E. CLARK (APRN)
Franklin County Memorial Hospital, 1406, Q Street, Franklin, Franklin County, Nebraska, 68939, United States
FRANKLIN, NE 689391073
Phone: (308) 425-6221
Type: Mailing
104 W SENECA ST
RAVENNA, NE 688691363
Phone: (308) 452-3203
Fax: (308) 452-3794
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($87).
Total Amount
$87
General + Research + Ownership
Payments
2
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $87 |
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: 2017-09-18
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 |
|---|---|---|---|---|
| I20170918002032 | I | Nurse Practitioner | NE | 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 |
|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 43 | 35 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 17 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 25 | 17 | $0 |
| 81003 | Automated urinalysis test | 20 | 13 | $0 |
Insurance plans in this area (ZIP 68939)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Mental Health Counselor | NE | |
| Nurse Practitioner | NE | |
| P S Y C H I A T R Y | NE | |
| Nurse Practitioner | NE |
Reviews
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