Curtis Clark, ACNP - Medicare Nurse Practitioner in Riverton, UT

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Curtis Clark, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Riverton, Utah. His current practice location is 4063 W 12600 S # Sabs, Riverton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 935-8180.

Curtis Clark is licensed to practice in Utah (license number 5609506-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962806786.

Contact Information

Curtis Clark, ACNP
4063 W 12600 S # Sabs,
Riverton, UT 84096-7302
(801) 935-8180
(801) 931-2307

Map and Direction




Provider's Profile

Full NameCurtis Clark
GenderMale
SpecialityNurse Practitioner - Acute Care
Location4063 W 12600 S # Sabs, Riverton, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962806786
  • Provider Enumeration Date: 10/22/2014
  • Last Update Date: 12/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274859012
  • Enrollment ID: I20150313000586

Medical Identifiers

Medical identifiers for Curtis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962806786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 5609506-4405 (Utah)Primary

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. Curtis Clark allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Acuity Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407250541
PECOS PAC ID: 4789908534
Enrollment ID: O20150127000392
Entity NameSleep And Breathe Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366806440
PECOS PAC ID: 7911299391
Enrollment ID: O20160705001259
Entity NameWoundtech Of Utah Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750922415
PECOS PAC ID: 3779919063
Enrollment ID: O20200205000711
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210225002062
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942903562
PECOS PAC ID: 8022927342
Enrollment ID: O20230615001995

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. Curtis 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
Curtis Clark, ACNP
4063 W 12600 S # Sabs,
Riverton, UT 84096-7302

Ph: (801) 935-8180		Curtis Clark, ACNP
4063 W 12600 S # Sabs,
Riverton, UT 84096-7302

Ph: (801) 935-8180

Reviews and Comments


Nurse Practitioner Nurses in Riverton, UT

Mr. Timothy S Garvey, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3741 W 12600 S, Outpatient Services, Riverton, UT 84065
Phone: 801-285-1285    
Jamie Camille Barker, NP
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Medicare: Medicare Enrolled
Practice Location: 3723 W 12600 S Ste 430, Riverton, UT 84065
Phone: 801-322-3222    
Mekenna Andree Bermingham, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065
Phone: 801-285-4543    Fax: 801-285-4540
Dustin Keith Jones, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1756 W Park Ave, Riverton, UT 84065
Phone: 801-254-0309    
Aubrey Rochelle George, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12391 S 4000 W, Riverton, UT 84096
Phone: 801-302-1700    
Anthony Cabri, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4546 W Park Hollow Ln, Riverton, UT 84096
Phone: 801-893-1451    Fax: 385-388-1041
Kirsten Nelson,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1420 W 12600 S, Riverton, UT 84065
Phone: 801-254-4600    

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.