Macey Clark, PNP-C, AGNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201704371NP-PP Issued in OR

Practice address

710 Sunset Dr
Suite E
La Grande, OR 97850-1200

Phone

(541) 962-5600

NPI assigned

May 10, 2017

Last updated

May 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195
  Medicare reassignment NPD
• Grande Ronde Hospital, Inc.

  dba Grande Ronde Hospital Urgent Care

  • Rural Health Clinic/Center
  • La Grande, OR
  • NPI 1093296519
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1417483553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507290",
            "telephone_number": "541-963-1967",
            "fax_number": "541-963-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR",
            "address_2": "SUITE E",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-962-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 E Dearborn St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "OR",
            "postal_code": "978839174",
            "country_code": "US",
            "telephone_number": "541-562-6180",
            "fax_number": "541-562-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MACEY",
        "credential": "PNP-C, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201704371NP-PP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "201704371NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Robert Christensen, PHARM.D. RPH
• Cassidy Christopher, BS
• Neena Church
• Brooke Cicierski, INTERN
• City of la Grande
• Marci Brianne Clarke, OT
• Lydia Claudson, QMHP
• Elizabeth Anne Cleveland
• Bradley Robert Close, CRNA
• Sabrina Coggins, RN

• Family Nurse Practitioner in La Grande, OR
• Providers in La Grande, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.