MARK CLOUTIER – Family Nurse Practitioner, NPI 1124476007

MARK CLOUTIER is a healthcare provider. based in Chattanooga, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 21249 (TN). The NPI Number for MARK CLOUTIER is 1124476007

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MARK CLOUTIER
NPI
1124476007
Phone
Not provided
Address
1809 GUNBARREL RD
Enumeration Date
1 June 2016
Last Update Date
1 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237789434
Graduation Year
2015 (11 years ago)
PAC ID
2860784964
Group Practice PAC ID
1153780226
Professional Enrollment ID
I20160711001620
Address ID
TN373772777SI2600XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

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Provider Addresses for MARK CLOUTIER

  • 1809, Gunbarrel Road, Bella Vista Acres, Chattanooga, Hamilton County, Tennessee, 37421, United States

    CHATTANOOGA, TN 374217185

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $348.

Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Globus Medical, Inc. ($104).

Total Amount

$348

General + Research + Ownership

Payments

15

Total payment records

General Amount

$348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-11

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
I20160711001620INurse PractitionerTNTBD

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
20610Aspiration and/or injection of fluid from large joint17384$0
99213Established patient office or other outpatient visit, 20-29 minutes172133$0
J1040Injection, methylprednisolone acetate, 80 mg13686$0
99203New patient office or other outpatient visit, 30-44 minutes9393$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose7118$0
View full utilization report →

Insurance plans in this area (ZIP 37421)

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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: 1153780226View full group profile
NameSpecialtyState
Nurse PractitionerTN
H O S P I T A L I S TTN
N E U R O L O G YMI
Hand Surgery, Plastic And Reconstructive SurgeryTN
Physician AssistantTN
P S Y C H I A T R YTN
Internal MedicineTN
U R O L O G YCT
Internal MedicineWI
General SurgeryTN

Reviews

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Frequently asked questions

What number should I use to identify MARK CLOUTIER for billing?
Administrative and clinical systems typically use NPI 1124476007 for MARK CLOUTIER.
Quick check: is MARK CLOUTIER active?
Public NPPES data shows MARK CLOUTIER with an active NPI status right now.
What does the directory say MARK CLOUTIER does?
Insurance directories may phrase it differently, but here MARK CLOUTIER maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARK CLOUTIER in Chattanooga, Tennessee?
For routing, start with Chattanooga, Tennessee for MARK CLOUTIER, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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