Mary Ellen Clark is a Mountain Home Afb, Idaho based nurse practitioner with 13 years of experience in Family. She completed her graduation in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary Ellen Clark is 66049 for Primary Care in Idaho. Her current practice location is 90 Hope Dr Bldg 6000, Mountain Home Afb. Patients can reach her at 208-828-7635. Mary Ellen Clark is CFNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1891031621. Mary Ellen Clark delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mary Ellen 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:
Mary Ellen Clark
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Credentials:
CFNP
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2012
Accepts Medicare Assignment:
Yes
Practice Address:
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho, 83648-1062
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:
9739333824
Enrollment ID:
I20220419002472
NPI Number:
1891031621
NPI Enumeration Date:
26 Dec, 2012
NPI Last Update On:
16 Jul, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ellen Clark are as mentioned below.
License Number
Specialization
State
Status
66049
Primary Care
Idaho
Primary
CNP-02460
Family
New Mexico
Secondary
201250210NP
Family
Oregon
Secondary
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 Mary Ellen Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Doctors House Calls Llc (5799024337)
7
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Ellen Clark Po Box 26666, Albuquerque, New Mexico
Zip:
87125-6666
Patients can reach Mary Ellen Clark at 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho or can call to book an appointment on 208-828-7635.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.