Charlene Clark, FNP - Medicare Nurse Practitioner in Moses Lake, WA

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Charlene Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moses Lake, Washington. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kootenai Urgent Care Llc, Apogee Medical Group Pc and her current practice location is 840 E Hill Ave, Moses Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 663-8711.

Charlene Clark is licensed to practice in Washington (license number AP61098520) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144621756.

Contact Information

Charlene Clark, FNP
840 E Hill Ave,
Moses Lake, WA 98837-2238
(509) 663-8711
(731) 658-4079

Map and Direction




Provider's Profile

Full NameCharlene Clark
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location840 E Hill Ave, Moses Lake, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlene Clark graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1144621756
  • Provider Enumeration Date: 09/15/2014
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123240926
  • Enrollment ID: I20231019000571

Medical Identifiers

Medical identifiers for Charlene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144621756NPI-NPPES
19070OtherTNAPN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19070 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family AP61098520 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Medical Center - Ontario, IncOntario, ORHospital
Kootenai HealthCoeur d'alene, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Urgent Care Llc105244194617
Apogee Medical Group Pc882098018817

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlene Clark allows following entities to bill medicare on her behalf.
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameKootenai Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821312356
PECOS PAC ID: 1052441946
Enrollment ID: O20100621000358
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Clark, FNP
820 N Chelan Ave,
Wenatchee, WA 98801-2028

Ph: (509) 663-8711		Charlene Clark, FNP
840 E Hill Ave,
Moses Lake, WA 98837-2238

Ph: (509) 663-8711

Reviews and Comments


Nurse Practitioner Nurses in Moses Lake, WA

Shawta Sackett, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    Fax: 509-764-0344
Braeden R Cook, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Leona M Hays, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837
Phone: 509-765-0674    
Ms. Ioly Tabita Lewis, PMHNP/ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Sheryl A Russell, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Kimberlee Elizabeth Poole,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837
Phone: 509-793-9787    Fax: 509-764-3263

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.