Active NPI 1447409446 Individual Practitioner Female Practitioner

Holly Heist Meskimen Clark , PA-C

Physician Assistant • Granger, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Holly Clark, PA-C is a certified Physician Assistant practicing in Granger, WA. With approximately 18 years of clinical experience since completing medical education in 2008, Holly Clark delivers high-quality medical care to the local community at 115 SUNNYSIDE AVE.

Holly Clark is affiliated with Summitview Urgent Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

115 Sunnyside Ave

Granger, WA 98932

Telephone 5098656450

Fax 5098541919

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Granger, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Granger, WA (3774 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (18 Years) 18 Yrs

Granger Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$223.00	$77.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$223.00	$76.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$275.00	$94.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	13	$159.00	$30.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$58.00	$20.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$252.86	$97.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$426.93	$145.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$91.76	$32.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$335.00	$140.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$209.00	$93.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	128	118	$2009.64	$146.67
99283 Emergency department visit with low level of medical decision making	85	77	$750.18	$52.59
99284 Emergency department visit with moderate level of medical decision making	77	75	$1350.68	$99.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	54	$100.79	$7.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	144	141	$1819.00	$145.67
99283 Emergency department visit with low level of medical decision making	117	110	$821.00	$52.48
99284 Emergency department visit with moderate level of medical decision making	80	78	$1225.00	$99.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$117.00	$61.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$172.00	$90.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60726169

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Summitview Urgent Care Inc

120 S 72nd Ave, Yakima, WA 989084200

Phone: 5099028856

Practice Associates & Co-Workers

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

6 Associated Practitioners

Ona Allen , NP

Nurse Practitioner

NPI 1154438919

Nurse Practitioner

Carmen Bowie , RN, MSN, APRN, NP-C

Nurse Practitioner - Family

NPI 1215485321

Registered Nurse, Master of Science in Nursing, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Heather Stickle , ARNP

Nurse Practitioner - Family

NPI 1518235001

Advanced Registered Nurse Practitioner

Cassendre Gibbs , CRNP

Nurse Practitioner

NPI 1679056121

Certified Registered Nurse Practitioner

Dr. Jennifer Wyrick , DNP, FNP-C

Nurse Practitioner

NPI 1831663905

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Danielle Smith

Nurse Practitioner

NPI 1871067090

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 115 SUNNYSIDE AVE, GRANGER, WA 98932 (Tel: 5098656450)

📍

Updated Business Mailing Address March 16, 2017

Registered at 115 SUNNYSIDE AVE, GRANGER, WA 98932 (Tel: 5098656450)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as HOLLY CLARK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Physician Assistant (License #PA60726169 in WA)

✅

NPI Profile Active February 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2014

Registered at 5176 HILL RD E, LAKEPORT, CA 954536300 (Tel: 7072625000)

📍

Updated Business Mailing Address February 06, 2014

Registered at PO BOX 12289, WESTMINSTER, CA 926852289 (Tel: 5624680227)

👤

Provider Name / Credentials Updated February 06, 2014

Recorded as HOLLY CLARK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2014

Physician Assistant (License #PA19897 in CA)

🟢

Initial NPI Registration & Enumeration September 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1447409446

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 15, 2008

Last Update: March 16, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

115 Sunnyside Ave

Granger, WA 98932

Phone: 5098656450

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.