| Shawna A Clark, DNP, FNP | |
|
235 S Canyon Blvd, John Day, OR 97845-1044 | |
| (541) 575-1263 | |
| (541) 575-0233 |
| Full Name | Shawna A Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 235 S Canyon Blvd, John Day, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962798793 | NPI | - | NPPES |
| 500640329 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1068A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201150064NP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blue Mountain Hospital | John day, OR | Hospital |
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Entity Name | Canyon Creek Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356952048 PECOS PAC ID: 4284054917 Enrollment ID: O20201020000657 |
| Entity Name | Lens Clinical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922738582 PECOS PAC ID: 3971977844 Enrollment ID: O20230315001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna A Clark, DNP, FNP 235 S Canyon Blvd, John Day, OR 97845-1044 Ph: (541) 575-1263 | Shawna A Clark, DNP, FNP 235 S Canyon Blvd, John Day, OR 97845-1044 Ph: (541) 575-1263 |
Erika Nichole Adams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Ford Rd., John Day, OR 97845 Phone: 541-575-0404 | |
Michelle Marie Boyd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Ford Rd, John Day, OR 97845 Phone: 541-575-0404 Fax: 541-575-1124 | |
Mr. James Roland Cook, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Ford Rd, John Day, OR 97845 Phone: 541-575-1311 | |
Jessica Dawn Winegar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 E Main St Ste E, John Day, OR 97845 Phone: 541-575-0429 |