Illise Clark, FNP-NP
NPI 1396004776 · Family Nurse Practitioner · Mentor, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illise Clark, FNP-NP is a Family Nurse Practitioner provider in Mentor, OH (NPI 1396004776).
Provider details
- NPI number
- 1396004776
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN.371331 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-05-07
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Illise Clark's NPI number?
- Illise Clark's National Provider Identifier (NPI) is 1396004776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Illise Clark's specialty?
- Illise Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Illise Clark located?
- Illise Clark's practice location on file with NPPES is 8881 Schaeffer St, Mentor, OH 44060-5035.
- What is Illise Clark's phone number?
- The practice phone number listed in the NPPES registry for Illise Clark is (440) 255-9309.
- Does Illise Clark accept Medicare?
- Illise Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Illise Clark's NPI active?
- Yes — Illise Clark's NPI (1396004776) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.