MR. MICHAEL CLARK (FNP-C) – Family Nurse Practitioner, NPI 1386170348

MR. MICHAEL CLARK (FNP-C) is a healthcare provider. based in Price, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 812262 (UT). The NPI Number for MR. MICHAEL CLARK (FNP-C) is 1386170348

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL CLARK (FNP-C)
NPI
1386170348
Phone
(435) 637-5061
Address
317 E 100 N
Enumeration Date
11 May 2017
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7757484826
Graduation Year
2017 (9 years ago)
PAC ID
4789687013
Group Practice PAC ID
7214822030
Professional Enrollment ID
I20241031001245
Address ID
NV898018334EL1993XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for MR. MICHAEL CLARK (FNP-C)

  • 317, East 100 North, Price, Carbon County, Utah, 84501, United States

    PRICE, UT 845012504

    Phone: (435) 637-5061

    Type: Location

  • 1993 ERRECART BLVD

    ELKO, NV 898018334

    Phone: (775) 753-1049

    Fax: (775) 777-8494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($28).

Total Amount

$94

General + Research + Ownership

Payments

4

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170918003152INurse PractitionerUTTBD
I20241031001245INurse PractitionerNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10088$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2221$0
81002Urinalysis, manual test1715$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1716$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 84501)

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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: 7214822030View full group profile
NameSpecialtyState
Family PracticeNV
Physician AssistantNV
Physician AssistantID
Physician AssistantCO
-CA
Family Practice, Sports MedicineWY
Nurse PractitionerNV
Family PracticeNE
Family PracticeNV
Nurse PractitionerNM

Reviews

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Frequently asked questions

Does MR. MICHAEL CLARK (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. MICHAEL CLARK (FNP-C) uses 1386170348.
Does the file indicate MR. MICHAEL CLARK (FNP-C) is practicing under active NPI?
Directory data currently reports MR. MICHAEL CLARK (FNP-C) as active.
What healthcare role does MR. MICHAEL CLARK (FNP-C) hold?
Scheduling teams often label MR. MICHAEL CLARK (FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. MICHAEL CLARK (FNP-C) list a practice location?
Patients near Price, Utah may find MR. MICHAEL CLARK (FNP-C) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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