Katheryn Clark, CNM
NPI 1417489931 · Advanced Practice Midwife · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Certified Nurse Midwife (cnm) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katheryn Clark, CNM is a Advanced Practice Midwife provider in Grand Rapids, MI (NPI 1417489931).
Provider details
- NPI number
- 1417489931
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 4704328067 (MI)
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
9 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
- 2017-04-03
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Katheryn Clark's NPI number?
- Katheryn Clark's National Provider Identifier (NPI) is 1417489931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katheryn Clark's specialty?
- Katheryn Clark is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katheryn Clark located?
- Katheryn Clark's practice location on file with NPPES is 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527.
- What is Katheryn Clark's phone number?
- The practice phone number listed in the NPPES registry for Katheryn Clark is (616) 391-2160.
- Does Katheryn Clark accept Medicare?
- Katheryn Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katheryn Clark's NPI active?
- Yes — Katheryn Clark's NPI (1417489931) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.