Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942653688 Individual Practitioner Male Practitioner

Michael Clark , NP

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Clark, NP is a certified Nurse Practitioner practicing in Providence, RI. With approximately 10 years of clinical experience since completing medical education in 2016, Michael Clark delivers high-quality medical care to the local community at 593 EDDY ST.

Michael Clark is affiliated with Brown Emergency Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St
Apc Suite 523

Providence, RI 029034923

Telephone 4014448467
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -0.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (10 Years) 10 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
11 11 $1197.82 $150.69

Medical Specialties & State Licenses

CMS Verified: 2020-11-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN01380

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Critical Care Medicine

NUCC Taxonomy Code: 363LC0200X

State License RI APRN01380

Definition to come...

Hospital & Practice Group Affiliations

Brown Emergency Medicine

593 Eddy St, Providence, RI 029034923

Phone: 4014444000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

NPI 1003034877
Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689
Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2020

Nurse Practitioner (License #APRN01380 in RI)

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 593 EDDY ST, APC SUITE 523, PROVIDENCE, RI 029034923 (Tel: 4014448467)

📍
Updated Business Mailing Address July 18, 2016

Registered at 593 EDDY ST, APC SUITE 523, PROVIDENCE, RI 029034923 (Tel: 4014448467)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as MICHAEL CLARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Nurse Practitioner (License #APRN01380 in RI)

🟢
Initial NPI Registration & Enumeration July 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Clark. Be the first to share your experience!

Sign in to leave a review for Michael Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1942653688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2016
Last Update: November 24, 2020
Sole Proprietor: No

Mailing Address

593 Eddy St, Apc Suite 523

Providence, RI 029034923

Phone: 4014448467

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.