Maribeth Collard Clark, CRNP
NPI 1730577016ActiveIndividual· Nurse Practitioner· Mobile, AL
Nurse Practitioner (CRNP) with Galen Inpatient Physicians PC, practicing in Mobile, Alabama. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists Sacred Heart Hospital as a hospital affiliation.
Overview
| NPI | 1730577016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Jan 8, 2015 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11036078 | FL |
| Nurse Practitioner, Acute Care | 363LA2100X | APRN11036078 | FL |
| Nurse Practitioner, Acute Care | 363LA2100X | 1-098071 | AL |
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 - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (FL) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Galen Inpatient Physicians PCHanford, CA · 1,077 clinicians
Hospital affiliation
- Sacred Heart HospitalPensacola, FL
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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