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KRISTEN MICHELLE CLAYTON APRN
NPI 1013673086
Nurse Practitioner - Family in Decatur, TX

Active since November 12, 2021PECOS EnrolledAccepts Medicare Assignment
800 MEDICAL CENTER DR STE C, DECATUR, TX 76234(940) 626-2110(940) 626-2113 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2022, Nov 12, 2021 (2 updates tracked since 2021).

About Kristen Michelle Clayton Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN MICHELLE CLAYTON APRN (NPI 1013673086) is an individual family provider in Decatur, Texas, licensed in Texas (1058073) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1013673086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN MICHELLE CLAYTONCredential: APRN
Location Address800 MEDICAL CENTER DR STE CDecatur, TX 76234-3844
Mailing Address2724 Flint Rock DrFort Worth, TX 76131-2055 · (440) 454-9073
Phone(940) 626-2110
Fax(940) 626-2113
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2021
Enumeration DateNovember 12, 2021
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1013673086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1058073
800 MEDICAL CENTER DR STE C, Decatur, TX 76234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Michelle Clayton Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779963152
PECOS Enrollment IDI20220701000068
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services179 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
184 services159 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DESTINEE RENEE OGEA
Nurse Practitioner (Acute Care)
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
CALEB ROBERTSON HARBIN PA-C
Physician Assistant
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
KARISSA SONNEBORN PA-C
Family Medicine
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
AGATHA RAE WATSON PA
Physician Assistant
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
KAILEY RENE DOBBS PA-C
Physician Assistant
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
MRS. MELISSA HOUSE APN
Nurse Practitioner (Gerontology)
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
MARY ELIZABETH FULLER FNP-C
Nurse Practitioner
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110
TEXAS LONGHORN MEDICAL PLLC
Clinic/Center (Primary Care)
800 MEDICAL CENTER DR STE C
DECATUR, TX 76234
Wise County (940) 626-2110

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 Kristen Clayton's NPI number?

The NPI number for Kristen Clayton is 1013673086. It was assigned to this individual provider in the NPPES registry on November 12, 2021.

Where is Kristen Clayton located?

Kristen Clayton practices at 800 Medical Center Dr Ste C, Decatur, TX 76234. The listed phone number is (940) 626-2110.

What is Kristen Clayton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Clayton enrolled in Medicare?

Yes. Kristen Clayton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristen Clayton accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare and 1 other insurer list Kristen Clayton 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.

When was this NPI record last updated?

The NPPES record for Kristen Clayton was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.