Ellice Clark
Certified Registered Nurse Anesthetist · Detroit, MI
Ellice Clark is a certified registered nurse anesthetist with a practice address in Detroit, Michigan, and NPI 1679287395, issued on Jan 9, 2023. Check the license (Michigan 4704345479, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ellice Clark
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 4704345479 MI
Self-reported in NPPES; status is on the state search - Practice location
- 4001 W Mcnichols RD, Detroit, MI 48221
- Phone
- (313) 993-1245
- Enumerated
- Jan 9, 2023
- Record last updated
- Nov 21, 2024
- Medicare enrollment
- Enrolled (PECOS I20241129000106); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 3,298 in Michigan → Look up another NPI →
Also registered at 4001 W Mcnichols RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sara AtishaPhysician Assistant1316601206
- Monique Bailhe, PA-CPhysician Assistant1063231843
- Bryan BalajCritical Care Medicine Registered Nurse1629913314
- Artemio Corvette BarayugaCertified Registered Nurse Anesthetist1609533090
- Abigail Barno, AT ATCAthletic Trainer1679040133
- Abigail BastienContinuing Education/Staff Development Registered Nurse1265377063
Verify Ellice Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704345479Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $14.44
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Northstar Anesthesia OF Michigan III PLLCDearborn, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ellice Clark among 3,298 certified registered nurse anesthetist records in Michigan
Ellice Clark is one of 3,298 certified registered nurse anesthetist records with a practice address in Michigan. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 94% of them.
- NPI issued2023 · 94% of these records are older, 3% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated2024 · median 2012 among the 2,454 with a school on file
- Record last updated2024 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
364 certified registered nurse anesthetist records list a practice address in Detroit
They are 364 of the 19,832 NPPES records with a practice address in Detroit, and 3,298 certified registered nurse anesthetist records in Michigan.
All 3,298 in Michigan → Every provider in Detroit → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Artemio Corvette BarayugaDetroit, MI 482211609533090
- Racheal BoyneDetroit, MI 482211245077429
- Alicia GranicaDetroit, MI 482211093427825
- Razan HabashDetroit, MI 482211902643232
- Rachel IovanDetroit, MI 482211740964451
- Sean MosleyDetroit, MI 482211912744517
- Miranda PetersonDetroit, MI 482211972448769
- Joseph Toma, RNDetroit, MI 482211881306017
Common questions
What is Ellice Clark's NPI number?
Ellice Clark's National Provider Identifier (NPI) is 1679287395, issued on Jan 9, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Ellice Clark located?
The NPPES record lists a practice address at 4001 W Mcnichols RD, Detroit, MI, 48221. Phone: (313) 993-1245. Providers update this record themselves, so call before visiting.
How can I verify Ellice Clark's license?
NPPES lists Michigan license number 4704345479, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.