Deactivated NPI 1568479400 Deactivated / Inactive NPI Male Practitioner

Wayne S Clark , ARNP

Nurse Practitioner • Yakima, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wayne Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006

NPI Deactivation Date November 06, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Wayne Clark, ARNP was a registered Nurse Practitioner practicing in Yakima, WA. Throughout an active medical career spanning 19 years, Wayne Clark provided care at the practice location at 1460 N 16TH AVE until profile deactivation on 2025-11-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic, follow-up hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1460 N 16th Ave
Suite D

Yakima, WA 989027102

Telephone 5095743800

Fax 5095743806

Associated Practice Facility / Clinic

🏢 Pinnacle Health Care Llc Facility NPI 1649271552

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Yakima, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.1 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

68 Specialists

Practicing in Yakima, WA (2339 Statewide)

Telehealth Adoption Rate

1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	71	$214.23	$78.81
99213 Established patient office or other outpatient visit, typically 15 minutes	140	55	$146.40	$55.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	82	$179.00	$82.66
99213 Established patient office or other outpatient visit, typically 15 minutes	157	70	$117.00	$55.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	138	$179.00	$90.33
99213 Established patient office or other outpatient visit, typically 15 minutes	43	27	$117.00	$69.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	144	$179.00	$89.75
99213 Established patient office or other outpatient visit, typically 15 minutes	111	74	$117.00	$63.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	535	163	$117.00	$44.13
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	15	$30.00	$10.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$179.00	$67.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	478	133	$114.00	$43.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	21	$87.00	$30.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	37	$174.00	$66.21
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$224.00	$84.07
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	20	11	$128.00	$29.40
99218 Hospital observation care typically 30 minutes	17	16	$221.00	$85.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	409	130	$139.00	$43.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	161	42	$148.00	$33.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	77	$213.00	$66.83
99221 Initial hospital inpatient care per day, typically 30 minutes	47	44	$222.00	$85.92
99218 Hospital observation care typically 30 minutes	19	16	$224.00	$82.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$374.00	$109.99
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	15	12	$96.00	$30.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$77.00	$7.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	381	138	$135.00	$42.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	88	30	$144.00	$32.88
99221 Initial hospital inpatient care per day, typically 30 minutes	51	46	$216.00	$84.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$207.00	$62.62
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	24	14	$93.00	$29.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$106.00	$21.36

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP30002529

(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

1 Associated Practitioners

Dr. Joe Kim , MD

Anesthesiology - Pain Medicine

NPI 1750333233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

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NPI Profile Active July 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2010

Registered at 1460 N 16TH AVE, SUITE D, YAKIMA, WA 989027102 (Tel: 5095743800)

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Updated Business Mailing Address July 22, 2010

Registered at PO BOX 9787, YAKIMA, WA 989090787 (Tel: 5095743353)

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Provider Name / Credentials Updated July 22, 2010

Recorded as WAYNE CLARK, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2010

Nurse Practitioner (License #AP30002529 in WA)

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Initial NPI Registration & Enumeration August 02, 2006

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: 1568479400

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: July 22, 2010

Deactivation Date: November 06, 2025

Update or Correct Profile

Mailing Address

Po Box 9787

Yakima, WA 989090787

Phone: 5095743353

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.