Jacob Clark, APRN, PMHNP-BC
NPI 1487009957 · Psychiatric/Mental Health Nurse Practitioner · Draper, UT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Clark, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Draper, UT (NPI 1487009957).
Provider details
- NPI number
- 1487009957
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Methylphenidate Hcl | 24 |
| Bupropion Hclbrand: Bupropion Xl | 17 |
| Trazodone Hcl | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2022-10-01
- Certified
- 2022-10-01
Frequently asked questions
- What is Jacob Clark's NPI number?
- Jacob Clark's National Provider Identifier (NPI) is 1487009957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Clark's specialty?
- Jacob Clark is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Clark located?
- Jacob Clark's practice location on file with NPPES is 138 E 12300 S Unit 860, Draper, UT 84020-7976.
- What is Jacob Clark's phone number?
- The practice phone number listed in the NPPES registry for Jacob Clark is (801) 449-1429.
- Does Jacob Clark accept Medicare?
- Jacob Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Clark's NPI active?
- Yes — Jacob Clark's NPI (1487009957) is active in the NPPES registry as of the last update on 2022-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.