Stephanie Clark, NP
NPI 1912288572ActiveIndividual· Nurse Practitioner· Pocatello, ID
Opted out of Medicare from January 2025 to January 2027. Nurse Practitioner (NP) in Pocatello, Idaho, licensed in ID, with an NPI issued in September 2011. Part D covered 238 prescriptions written in 2024, 95% of them generic. Abbvie Inc. was the largest of 2 companies reporting payments in 2024, $92.71 in all, mostly food and beverage.
Overview
| NPI | 1912288572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP-1100A | ID |
| Registered Nurse | 163W00000X | N-35468 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2025 – Jan 1, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 238 · 326 30-day fills |
|---|---|
| Patients | 24 |
| Total drug cost | $51,632 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
- 2024$92.71 · 4 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $73.10 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $19.61 | 1 |
What the 2024 payments were for
- Food and Beverage$92.71 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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