Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desa Mariah Clark, APRN

Individual provider Registered Nurse · NPI 1215519814

Desa Mariah Clark, APRN is a Nurse Practitioner in Fremont, Nebraska. Qualified in 2021, 5 years ago. Practices with Methodist Fremont Health, a 88-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
5
Licensed in
NE
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2560 N Healthy Way
Fremont, NE 68025-2315
Phone: (402) 941-7245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 113657 (NE)
Registered Nurse Taxonomy 163W00000X · Licence 64709 (NE)

Record details

NPI number1215519814
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing address605 E Thomsen St, Fremont, NE 68025-9235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Methodist Fremont Health — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fremont