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

Mr. Michael Clark, NP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1942653688

Mr. Michael Clark, NP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2016, 10 years ago. Practices with Brown Emergency Medicine, a 140-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
10
Licensed in
RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

593 Eddy St Apc Ste 523
Providence, RI 02903-4923
Phone: (401) 444-8467
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN01380 (RI)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence APRN01380 (RI)

Record details

NPI number1942653688
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020
Mailing address593 Eddy St, Apc Suite 523, Providence, RI 02903-4923

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brown Emergency Medicine — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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