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

Gregory P Clark, APN

Individual provider Registered Nurse · NPI 1497322408

Gregory P Clark, APN is a Nurse Practitioner in Fort Collins, Colorado. Qualified in 2021, 5 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

4674 Snow Mesa Dr Ste 100
Fort Collins, CO 80528-8614
Phone: (970) 482-3712
Show map & directions

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

Additional practice locations (1)

  • 1025 Pennock Pl Ste 121, Fort Collins, CO 80524-3257 — (970) 495-8980

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0996672-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN.0130031 (CO)

Record details

NPI number1497322408
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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 Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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