Doctor profile · Federal record
Dr. Jeremiah Clark, FNP-BC
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Meridian, ID
- NPI 1356123657
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1526 W Ustick RD Ste 110
Meridian, ID 836467741
(208) 370-5888
fax (206) 717-7104 - Mailing address
-
8838 W Pine Valley Ln
Boise, ID 837090025
Credentials & registration
- NPI registered
- October 2023 — 3 yrs on file
- Profile last updated
- June 23, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- Idaho #77813 · Idaho #TEMP77813
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356123657. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$36
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 1 | $18.72 | |
| Alkermes, Inc. | 1 | $17.69 |
By nature of payment
Frequently asked questions
What is Dr. Jeremiah Clark's medical specialty?
Dr. Jeremiah Clark practices Psychiatric/Mental Health Nurse Practitioner in Meridian, ID.
Where does Dr. Jeremiah Clark practice?
Dr. Jeremiah Clark practices at 1526 W Ustick RD Ste 110, Meridian, ID 836467741. Office phone: 2083705888.
What is Dr. Jeremiah Clark's NPI?
Dr. Jeremiah Clark's National Provider Identifier (NPI) is 1356123657, issued by NPPES.
Does Dr. Jeremiah Clark accept Medicare assignment?
Yes. Dr. Jeremiah Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.