Macey Clark, PNP-C, AGNP-C
NPI 1417483553 · Family Nurse Practitioner · La Grande, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Macey Clark, PNP-C, AGNP-C is a Family Nurse Practitioner provider in La Grande, OR (NPI 1417483553).
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
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
Mailing address
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
Frequently asked questions
- What is Macey Clark's NPI number?
- Macey Clark's National Provider Identifier (NPI) is 1417483553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Macey Clark's specialty?
- Macey Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Macey Clark located?
- Macey Clark's practice location on file with NPPES is 710 Sunset Dr, La Grande, OR 97850-1200.
- What is Macey Clark's phone number?
- The practice phone number listed in the NPPES registry for Macey Clark is (541) 962-5600.
- Does Macey Clark accept Medicare?
- Macey Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Macey Clark's NPI active?
- Yes — Macey Clark's NPI (1417483553) is active in the NPPES registry as of the last update on 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.