Jenatte Clark Dermatology PLLC
NPI 1225601164 · Dermatology Physician · Yakima, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenatte Clark Dermatology PLLC is a Dermatology Physician organization in Yakima, WA (NPI 1225601164).
Provider details
- NPI number
- 1225601164
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenatte Clark, Family Nurse Practitioner(509) 945-7777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Other names (DBA / former)
- Doing business as
- Jenatte Clark Dermatology
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Frequently asked questions
- What is Jenatte Clark Dermatology PLLC's NPI number?
- Jenatte Clark Dermatology PLLC's National Provider Identifier (NPI) is 1225601164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jenatte Clark Dermatology PLLC?
- Jenatte Clark Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jenatte Clark Dermatology PLLC located?
- Jenatte Clark Dermatology PLLC's practice location on file with NPPES is 4209 Tieton Dr Ste 102, Yakima, WA 98908-3377.
- What is Jenatte Clark Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jenatte Clark Dermatology PLLC is (509) 945-7777.
- Does Jenatte Clark Dermatology PLLC accept Medicare?
- Jenatte Clark Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jenatte Clark Dermatology PLLC?
- The authorized official listed on Jenatte Clark Dermatology PLLC's NPPES record is Jenatte Clark, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jenatte Clark Dermatology PLLC's NPI active?
- Yes — Jenatte Clark Dermatology PLLC's NPI (1225601164) is active in the NPPES registry as of the last update on 2021-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.