Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336303106 Individual Practitioner Female Practitioner

Connie Ruth Clark , ARNP

Nurse Practitioner • Stevenson, WA

Professional Overview & Biography Verified Profile Summary

Connie Clark, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Stevenson, WA. Practice services are available at 710 SW ROCK CREEK DR under active NPI credentials.

Frequently performed procedures and clinical services include outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

710 Sw Rock Creek Dr

Stevenson, WA 986484418

Telephone 5094273850
Fax 5094270188
Associated Practice Facility / Clinic
🏢 County Of Skamania Facility NPI 1801146006

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Stevenson, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Stevenson, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
38 22 $50.00 $19.69

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60258145

(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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Katelyn Murphy

Social Worker

NPI 1003359290
NPI 1023032364

Master of Social Work, Licensed Independent Clinical Social Worker

Julee Vanderdasson , LPN

Licensed Practical Nurse

NPI 1083086730

Licensed Practical Nurse

Susan Muth , LMHC

Counselor - Mental Health

NPI 1154480457

Licensed Mental Health Counselor

NPI 1164346789
Rian Brown

Case Manager/Care Coordinator

NPI 1346087939

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 19, 2019

Registered at 710 SW ROCK CREEK DR, STEVENSON, WA 986484418 (Tel: 5094273850)

📍
Updated Business Mailing Address March 19, 2019

Registered at PO BOX 1492, STEVENSON, WA 986481492 (Tel: 5094273850)

👤
Provider Name / Credentials Updated March 19, 2019

Recorded as CONNIE CLARK, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Nurse Practitioner (License #AP60258145 in WA)

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2015

Registered at 419 E 7TH ST, THE DALLES, OR 970582676 (Tel: 5415062600)

📍
Updated Business Mailing Address July 28, 2015

Registered at PO BOX 369, STEVENSON, WA 986480369 (Tel: 5094273850)

👤
Provider Name / Credentials Updated July 28, 2015

Recorded as CONNIE CLARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Registered Nurse (License #200150021 in OR)

🟢
Initial NPI Registration & Enumeration July 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336303106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2008
Last Update: March 19, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 1492

Stevenson, WA 986481492

Phone: 5094273850

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.