Illise Clark
FNP-NP | Nurse Practitioner | 9+ years Exp
8881 Schaeffer St, Mentor
Ohio, 44060-5035
440-255-9309
Illise Clark is a Mentor, Ohio based nurse practitioner with 9 years of experience as Nurse Practitioner. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Illise Clark is APRN.CNP.0022454 for Family NP in Ohio. Her current practice location is 8881 Schaeffer St, Mentor. Patients can reach her at 440-255-9309. Illise Clark is FNP-NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1396004776.
Illise Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Illise Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Illise Clark |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-NP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8881 Schaeffer St, Mentor,
Ohio, 44060-5035 |
| Phone: | 440-255-9309 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395094395 |
| Enrollment ID: | I20180824001195 |
| NPI Number: | 1396004776 |
| NPI Enumeration Date: | 07 May, 2012 |
| NPI Last Update On: | 12 May, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illise Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.0022454 | Family NP | Ohio | Primary | |
| RN.371331 | Registered Nurse | Ohio | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (360075) | Richmond heights, OH | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Illise Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Uh Regional Hospitals (6608978572) | 17 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Illise Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0268768 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Illise Clark
8881 Schaeffer St,
Mentor, Ohio |
| Zip: | 44060-5035 |
| Phone Number: | 440-255-9309 |
Patients can reach Illise Clark at
8881 Schaeffer St, Mentor, Ohio or can
call to book an appointment on 440-255-9309.
Comments/ Reviews:
Patients can read all the reviews posted for Illise Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Illise Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.