Stephanie Clark, NP - Medicare in Pocatello, ID

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Stephanie Clark, NP is a medicare enrolled "Nurse Practitioner" in Pocatello, Idaho. Her current practice location is 1951 Bench Road, Ste A, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 549-7385.

Stephanie Clark is licensed to practice in Idaho (license number NP-1100A) 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 1912288572.

Contact Information

Stephanie Clark, NP
1951 Bench Road, Ste A,
Pocatello, ID 83201-2073
(208) 549-7385
(208) 216-6761

Map and Direction




Provider's Profile

Full NameStephanie Clark
GenderFemale
Speciality
Experience Years
Location1951 Bench Road, Pocatello, Idaho
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:
  • Stephanie Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1912288572
  • Provider Enumeration Date: 09/08/2011
  • Last Update Date: 09/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Stephanie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912288572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP-1100A (Idaho)Primary
163W00000XRegistered Nurse N-35468 (Idaho)Secondary

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. Stephanie 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
Stephanie Clark, NP
1951 Bench Road, Ste A,
Pocatello, ID 83201-2073

Ph: (208) 549-7385		Stephanie Clark, NP
1951 Bench Road, Ste A,
Pocatello, ID 83201-2073

Ph: (208) 549-7385

Reviews and Comments


Nurse Practitioner Nurses in Pocatello, ID

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Ms. Amie Beth Kenyen, NP-C
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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.