Curtis Clark, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5609506-4405 Issued in UT

Practice address

4063 W 12600 S # Sabs
Riverton, UT 84096-7302

Phone

(801) 935-8180

Fax

(801) 931-2307

NPI assigned

Oct 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AZ, ID3 enrollments

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 3

Merit-based Incentive Payment System (MIPS)

Final score

89.06 of 100Reported as group

Quality

89.53

Promoting interoperability

100

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Sleep and Breathe Specialists

  • Medical Specialty Clinic/Center
  • Riverton, UT
  • NPI 1366806440
  Medicare reassignment NPD
• Woundtech of Utah, Inc.

  • Infectious Disease Physician
  • Salt Lake City, UT
  • NPI 1750922415
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ, ID, UT

  Medicare reassignment NPD
• Western Medical Consultants

  • Internal Medicine Physician
  • Draper, UT
  • NPI 1790175073
  Medicare reassignment
• Intermountain Ear,Nose, and Throat Specialists LLC

  • Medical Specialty Clinic/Center
  • Salt Lake City, UT
  • NPI 1487764411
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962806786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 W 12600 S # SABS",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-935-8180",
            "fax_number": "801-931-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 W 12600 S # SABS",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-935-8180",
            "fax_number": "801-931-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CURTIS",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "5609506-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Christiansen, D.O.
• Christopher J. Jolles MD, PC (Special Gynecology and Oncology)
• Alice Faith Yuo Chung, M.D.
• Anna Churchill
• Caroline Adele Cizek
• John Larsen Clayton, M.D.
• David T Clegg, DDS
• Clinical Diagnostic Services, LLC
• Colarusso Family Chiropractic, PC
• John Joseph Colarusso, D.C.

• Acute Care Nurse Practitioner in Riverton, UT
• Providers in Riverton, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.