CLAYTON MICHAEL CLARK
NPI 1013575844
Nurse Anesthetist, Certified Registered in Durham, NC
About Clayton Michael Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAYTON MICHAEL CLARK (NPI 1013575844) is an individual nurse anesthetist, certified registered in Durham, North Carolina, licensed in Texas (AP143683) and active in the NPI registry since June 2019. He is affiliated with Hamilton Hospital and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clayton Michael Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Clayton Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Iberia, LA 70563
- Reassigned Medicare billing, Texas enrollment
- 282 clinicians in this Medicare group
Burleson, TX 76028
- Reassigned Medicare billing, Texas enrollment
- 429 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Olney, TX 76374
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1134137466 (Texas)
- 24 clinicians in this Medicare group
Corpus Christi, TX 78412
- Reassigned Medicare billing, Texas enrollment
- 740 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hamilton Hospital
Critical Access Hospitals · Olney, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27710
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clayton Clark's NPI number?
The NPI number for Clayton Clark is 1013575844. It was assigned to this individual provider in the NPPES registry on June 5, 2019.
Where is Clayton Clark located?
Clayton Clark practices at 307 Trent Dr, Durham, NC 27710. The listed phone number is (919) 684-3786.
What is Clayton Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Clayton Clark enrolled in Medicare?
Yes. Clayton Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clayton Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Clark reassigns Medicare benefits to 5 organizations: Youngs Professional Services LLC (New Iberia, LA), Northstar Anesthesia II PA (Burleson, TX), Emergenchealth PLLC (Fort Worth, TX), Olney Hamilton Hospital District (Olney, TX) and Northstar Anesthesia III PA (Corpus Christi, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clayton Clark accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Clayton Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clayton Clark affiliated with any hospitals?
According to CMS data, Clayton Clark is affiliated with Hamilton Hospital.
When was this NPI record last updated?
The NPPES record for Clayton Clark was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clayton Michael Clark · NPI 1013575844
Nurse Anesthetist, Certified Registered physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1013575844 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP143683 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 307 TRENT DR, Durham, NC 27710-3038
- **Phone:** (919) 684-3786
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA); Northstar Anesthesia II PA (NPI 1477066405, Burleson, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); Olney Hamilton Hospital District (NPI 1801158787, Olney, TX); Northstar Anesthesia III PA (NPI 1356968952, Corpus Christi, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013575844) · Data from the CMS NPPES public registry.