CHARLENE CLARK (FNP) – Family Nurse Practitioner, NPI 1144621756
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for CHARLENE CLARK (FNP)
820 N CHELAN AVE
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
840 E HILL AVE
MOSES LAKE, WA 988372238
Phone: (509) 663-8711
Fax: (731) 658-4079
Type: Location
1205 TETON AVE
CALDWELL, ID 836052553
Phone: (901) 500-5766
Type: Mailing
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 836471038
Phone: (208) 587-3988
Fax: (208) 587-3324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($122).
Total Amount
$215
General + Research + Ownership
Payments
6
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $122 |
| ABBVIE INC. | $30 |
| Boston Scientific Corporation | $24 |
| Novo Nordisk Inc | $23 |
| Enterra Medical, Inc. | $16 |
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: 2025-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20141111001752 | I | Nurse Practitioner | TN | TBD |
| I20231122001129 | I | Nurse Practitioner | OR | TBD |
| I20250114000223 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 187 | 171 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 69 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 57 | 57 | $0 |
| 81003 | Automated urinalysis test | 47 | 44 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 41 | 34 | $0 |
Insurance plans in this area (ZIP 98801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SC | |
| - | WA | |
| Internal Medicine, Hospitalist, Internal Medicine | CT | |
| Internal Medicine | WA | |
| Internal Medicine | MI | |
| Internal Medicine | ID | |
| Hospitalist, Hospitalist, Internal Medicine | TX | |
| Physician Assistant | TN | |
| Hospitalist, Internal Medicine, Internal Medicine | FL | |
| Family Practice | ID |
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