MARY ELLEN CLARK CFNP NPI 1891031621

NPI Details

Mary Ellen Clark, CFNP is a primary care nurse practitioner in Mountain Home Afb, ID with 13 years of experience. Mary Ellen Clark, CFNP NPI is 1891031621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648-062
Phone: (208) 828-7635

The NPI 1891031621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
• Established patient home visit, typically 25 minutes (HCPCS:99348)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Established patient home visit, typically 15 minutes (HCPCS:99347)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Established patient home visit, typically 40 minutes (HCPCS:99349)

The enumeration date for this NPI number is 12/26/2012 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: