Kellie Marie Clark, MD
NPI 1619585403ActiveIndividual· Family Medicine· Middleville, MI
Family Medicine (MD) with Pennock Hospital, practicing in Middleville, Michigan. Part D covered 1,244 prescriptions written in 2024, 82% of them generic. Lists Corewell Health Pennock Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1619585403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 17, 2020 |
| Last updated in NPPES | Sep 11, 2024 |
| Certified by provider | Sep 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4301511876 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,244 · 2,026 30-day fills |
|---|---|
| Patients | 220 |
| Total drug cost | $117,441 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Pennock HospitalIonia, MI · 75 clinicians
Hospital affiliations
- Corewell Health Pennock HospitalHastings, MI
- Spectrum HealthGrand Rapids, MI
- Spectrum Health United HospitalGreenville, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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