Mrs Caitlin Randi Clark, FNP - Medicare Nurse Practitioner in Midvale, UT

Mrs Caitlin Randi Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Midvale, Utah. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindful Mobile Medicine Llc and her current practice location is 623 E Fort Union Blvd Ste 105, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 261-9490.

Mrs Caitlin Randi Clark is licensed to practice in Utah (license number 12591240-8900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376421883.

Contact Information

Mrs Caitlin Randi Clark, FNP
623 E Fort Union Blvd Ste 105,
Midvale, UT 84047-5529
(801) 261-9490
Not Available

Map and Direction




Provider's Profile

Full NameMrs Caitlin Randi Clark
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location623 E Fort Union Blvd Ste 105, Midvale, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Caitlin Randi Clark graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1376421883
  • Provider Enumeration Date: 08/22/2025
  • Last Update Date: 09/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4486143583
  • Enrollment ID: I20251029002455

Medical Identifiers

Medical identifiers for Mrs Caitlin Randi Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376421883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12591240-8900 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heartwood Home HealthWest jordan, UTHome health agency
Heartwood HospiceWest jordan, UTHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mindful Mobile Medicine Llc12548653634

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Caitlin Randi Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Caitlin Randi Clark, FNP
1711 Grant Ave,
Ogden, UT 84404-5730

Ph: (801) 643-8225
Mrs Caitlin Randi Clark, FNP
623 E Fort Union Blvd Ste 105,
Midvale, UT 84047-5529

Ph: (801) 261-9490

Reviews and Comments


Nurse Practitioner Nurses in Midvale, UT

Shelley Bradfield Cheever, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7722 S 1130 E, Midvale, UT 84047
Phone: 801-694-5700    
Lynn Marie Mcmillan, NP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047
Phone: 801-233-4400    
Ms. Linda L. Decker, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047
Phone: 801-233-4200    Fax: 801-233-4239
Rachel Ivie Anderson, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 167 W Princeton Dr, Midvale, UT 84047
Phone: 385-219-1090    
Julia Marie Palmieri, FNP-C, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 65 E 6850 S, Midvale, UT 84047
Phone: 801-568-6700    
Cassandra Renee Debenham, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7661 S 700 E, Midvale, UT 84047
Phone: 801-385-5243    
Ms. Debra Lynn Stone, ACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7656 Jefferson St, Midvale, UT 84047
Phone: 801-561-4140    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.