Individual provider

Michael Clark, R.N.

General Practice Registered Nurse Case Management Registered Nurse Emergency Registered Nurse

Michael Clark, R.N. is a General Practice Registered Nurse in Mather, CA, registered under NPI 1255478111. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 10535 HOSPITAL WAY, Mather, CA 95655. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10535 HOSPITAL WAY, Mather, CA 95655 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
741297 CA General Practice Registered Nurse primary
RN 199634 OH Case Management Registered Nurse
741297 CA Emergency Registered Nurse
741297 CA Critical Care Medicine Registered Nurse

Licences are recorded in 2 states: CA, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: California and Ohio. The practice address on file is in Mather, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
741297
Specialty
General Practice Registered Nurse
Verify with the CA board →
OH Ohio
Licence
RN 199634
Specialty
Case Management Registered Nurse
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

Definition to come... NUCC Health Care Provider Taxonomy, code 163WG0000X
Nursing Service Providers Registered Nurse General Practice

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
163WG0000X General Practice Registered Nurse General Practice 741297 CA primary
163WC0400X Case Management Registered Nurse Case Management RN 199634 OH
163WE0003X Emergency Registered Nurse Emergency 741297 CA
163WC0200X Critical Care Medicine Registered Nurse Critical Care Medicine 741297 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255478111 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 31, 2007
Last updatedJun 29, 2012
StatusActive
Sole proprietorNo
CredentialR.N.
Practice address 10535 HOSPITAL WAY
Mather, CA 95655
(916) 366-5410
Mailing address 1780 CREEKSIDE DR APT: 2424
Folsom, CA 95630
This record was last updated on Jun 29, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1255478111 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 4 7 8 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 8 7 7 1 2

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255478111?
NPI 1255478111 is the National Provider Identifier assigned to Michael Clark, R.N. in Mather, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
Definition to come...
How do I contact Michael Clark, R.N.?
The phone number on file with NPPES is (916) 366-5410, last updated Jun 29, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1255478111 a valid number?
Yes. 1255478111 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.