Jeremiah Clark, FNP-BC
Jeremiah Clark, FNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Meridian, ID, registered under NPI 1356123657. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1526 W USTICK RD STE 110, Meridian, ID 83646. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 77813 | ID | Psychiatric/Mental Health Nurse… primary |
| TEMP77813 | ID | Family Nurse Practitioner |
This provider holds licence 77813 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 0446695118
- Enrollment ID
- I20240304003420
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 77813 | ID | primary |
| 363LF0000X | Family Nurse Practitioner Family | TEMP77813 | ID |
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.
| NPI | 1356123657 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 20, 2023 |
| Last updated | Jun 23, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | FNP-BC |
| Practice address |
1526 W USTICK RD STE 110 Meridian, ID 83646 (208) 370-5888 Fax (206) 717-7104 |
| Mailing address |
8838 W PINE VALLEY LN Boise, ID 83709 |
Number check
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 | 3 | 5 | 6 | 1 | 2 | 3 | 6 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 2 | 2 | 6 | 6 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
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.