Ellice Clark
NPI 1679287395 · Certified Registered Nurse Anesthetist · Detroit, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellice Clark is a Certified Registered Nurse Anesthetist provider in Detroit, MI (NPI 1679287395).
Provider details
- NPI number
- 1679287395
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704345479 (MI)
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 tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Ellice Clark's NPI number?
- Ellice Clark's National Provider Identifier (NPI) is 1679287395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellice Clark's specialty?
- Ellice Clark is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ellice Clark located?
- Ellice Clark's practice location on file with NPPES is 4001 W Mcnichols Rd, Detroit, MI 48221-3038.
- What is Ellice Clark's phone number?
- The practice phone number listed in the NPPES registry for Ellice Clark is (313) 993-1245.
- Does Ellice Clark accept Medicare?
- Ellice Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellice Clark's NPI active?
- Yes — Ellice Clark's NPI (1679287395) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.