Michael Clark, PA
NPI 1063511921 · Physician Assistant · Clermont, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Clark, PA is a Physician Assistant provider in Clermont, FL (NPI 1063511921).
Provider details
- NPI number
- 1063511921
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA0002555 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Clark's NPI number?
- Michael Clark's National Provider Identifier (NPI) is 1063511921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Clark's specialty?
- Michael Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Clark located?
- Michael Clark's practice location on file with NPPES is 1099 Citrus Tower Blvd, Clermont, FL 34711-1947.
- What is Michael Clark's phone number?
- The practice phone number listed in the NPPES registry for Michael Clark is (352) 394-4071.
- Does Michael Clark accept Medicare?
- Michael Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Clark's NPI active?
- Yes — Michael Clark's NPI (1063511921) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.