CALVIN CLARKE – Family Nurse Practitioner, NPI 1851761027
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for CALVIN CLARKE
1011 E Main
Suite 302
Puyallup, WA 983726779
Phone: (253) 841-2471
Fax: (253) 841-2472
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (253) 537-0293
Fax: (253) 537-7650
Type: Mailing
11019 CANYON RD E STE A
PUYALLUP, WA 983733001
Phone: (253) 537-0293
Fax: (253) 537-7650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,229.
Total Amount is formed as General ($2,229) + Research ($0) + Ownership ($0) = $2,229.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Insulet Corporation ($568).
Total Amount
$2,229
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Insulet Corporation | $568 |
| Bayer Healthcare Pharmaceuticals Inc. | $365 |
| Medtronic, Inc. | $227 |
| Lilly USA, LLC | $170 |
| Abbott Laboratories | $159 |
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: 2015-10-21
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 |
|---|---|---|---|---|
| I20151021003238 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 13 | $0 |
Insurance plans in this area (ZIP 98372)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 83036 | Hemoglobin A1C level | 229 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Clinical Social Worker | WA | |
| - | WA | |
| Family Practice | CA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Family Practice | WA |
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