IndividualActive
Macey Clark, PNP-C, AGNP-C
NPI 1417483553 · Family Nurse Practitioner · La Grande, OR
Provider details
- NPI number
- 1417483553
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP-C, AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 201704371NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
710 Sunset Dr
Suite E
La Grande, OR 97850-1200
Phone: (541) 962-5600
Street-level locationGet directions
Mailing address
Po Box 3290
La Grande, OR 97850-7290
Additional practice locations (1)
- 142 E Dearborn StUnion, OR 97883-9174Phone: (541) 562-6180Fax: (541) 562-6186
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.