CLAYTON MICHAEL CLARK
NPI 1013575844
Nurse Anesthetist, Certified Registered in Durham, NC

Active since June 05, 2019
307 TRENT DR, DURHAM, NC 27710(919) 684-3786 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2019, Jun 5, 2019 (2 updates tracked since 2019).

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

NPI1013575844
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCLAYTON MICHAEL CLARK
Location Address307 TRENT DRDurham, NC 27710-3038
Mailing Address1428 Ida St Apt KDurham, NC 27705-3331
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
NPI 1013575844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · AP143683
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 275012 (NC)
307 TRENT DR, Durham, NC 27710

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Clayton Michael Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163854308
PECOS Enrollment IDI20191108002867

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients

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, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451354
Location901 West HamiltonOlney, TX 76374 · Young County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
307 TRENT DR
DURHAM, NC 27710
Registered Nurse
307 TRENT DR
DURHAM, NC 27710
Registered Nurse
307 TRENT DR
DURHAM, NC 27710
Nurse Practitioner (Adult Health)
307 TRENT DR
DURHAM, NC 27710
Registered Nurse (Obstetric, High-Risk)
307 TRENT DR
DURHAM, NC 27710
Registered Nurse (Neonatal Intensive Care)
307 TRENT DR
DURHAM, NC 27710
Nurse Practitioner (Pediatrics)
307 TRENT DR
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
307 TRENT DR
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.

What insurance does Clayton Clark accept?

Health plans from Blue Cross and Blue Shield of Texas 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.