NPI age
14 years
Enumerated 2011-09-08
● Active
Type 1 · Individual
Stephanie Clark, NP
Clark is 1 of 10 nurse practitioner providers in Pocatello and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Practice location
1951 Bench Road, Ste A
Pocatello, ID 832012073
Mailing address
1951 Bench Road, Ste A
Pocatello, ID 832012073
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Pocatello in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.