Karly Michelle Clark
NPI 1760014450ActiveIndividual· Nurse Anesthetist, Certified Registered· Spokane, WA
Nurse Anesthetist, Certified Registered with Providence Health and Service- Washington and 1 other group, practicing in Spokane, Washington. Medicare paid $2,899 for services to 34 patients in 2024. Lists Island Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1760014450 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | AP61446232 | WA |
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 - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 34 across 16 procedure codes |
| Paid by Medicare | $2,899 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Providence Health and Service- WashingtonSpokane, WA · 173 clinicians
- Providence Wa Anesthesia Services, PCEverett, WA · 84 clinicians
Hospital affiliations
- Island HospitalAnacortes, WA
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
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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All 264 nurse anesthetists in Spokane · All nurse anesthetists in Washington