Michael Clark, NP
NPI 1942653688ActiveIndividual· Nurse Practitioner· Providence, RI
Nurse Practitioner (NP) with Lifespan Physician Group Inc and 1 other group, practicing in Providence, Rhode Island. Part D covered 151 prescriptions written in 2024, 94% of them generic. Lists Rhode Island Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1942653688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 18, 2016 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Nov 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN01380 | RI |
| Nurse Practitioner, Critical Care Medicine | 363LC0200X | APRN01380 | RI |
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) | Enrolled Practitioner - Nurse Practitioner (MA); Practitioner - Nurse Practitioner (RI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 159 30-day fills |
|---|---|
| Patients | 115 |
| Total drug cost | $4,799 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- Brown Emergency MedicineProvidence, RI · 141 clinicians
Hospital affiliations
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
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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