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

Mr. Jeremiah Robins Clark, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1356123657

Mr. Jeremiah Robins Clark, FNP-BC is a Nurse Practitioner in Meridian, Idaho. Qualified in 2023, 3 years ago. Practices with Meridian Advanced Psychiatry , LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1526 W Ustick Rd Ste 110
Meridian, ID 83646-7741
Phone: (208) 370-5888
Fax: (206) 717-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 77813 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TEMP77813 (ID)

Record details

NPI number1356123657
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Meridian Advanced Psychiatry , Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian