SHERI R. CLARK (FNP) – Nurse Practitioner, NPI 1821095241
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for SHERI R. CLARK (FNP)
2620 EAST BARNETT RD SUITE H
MEDFORD, OR 975048383
Phone: (541) 789-4281
Fax: (541) 789-5538
Type: Mailing
153 US ROUTE 1
SCARBOROUGH, ME 040747218
Phone: (207) 799-8596
Type: Location
691, Murphy Road, Medford, Jackson County, Oregon, 97504, United States
SUITE 107
MEDFORD, OR 97504
Phone: (541) 789-6460
Fax: (541) 789-6461
Type: Location
PO BOX 9746
PORTLAND, ME 041045040
Phone: (207) 828-2449
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 $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Abbott Laboratories ($34).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $34 |
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: 2025-01-16
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 |
|---|---|---|---|---|
| I20250116001674 | I | Nurse Practitioner | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OR | 17003 | Destruction of 2-14 skin growths | 59 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WV | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | OR | |
| N E U R O L O G Y | OR | |
| - | OR | |
| Nurse Practitioner | GA | |
| Internal Medicine | OR | |
| N E U R O L O G Y | CO |
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