LORI BETH CLAYCOMB CRNP
NPI 1023779527
Nurse Practitioner - Family in Johnstown, PA

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 615-2014 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2024, Feb 1, 2022, Jan 6, 2022 (3 updates tracked since 2022).

About Lori Beth Claycomb Crnp NPPES

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

LORI BETH CLAYCOMB CRNP (NPI 1023779527) is an individual family provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP025316) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023779527
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI BETH CLAYCOMBCredential: CRNP
Location Address1415 EISENHOWER BLVDJohnstown, PA 15904-3217
Mailing Address1415 Eisenhower BlvdJohnstown, PA 15904-3217 · (814) 615-2014
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2022
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1023779527 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 PA · SP025316
1415 EISENHOWER BLVD, Johnstown, PA 15904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Beth Claycomb Crnp 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 ID1456745835
PECOS Enrollment IDI20220301000737
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lori Claycomb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 147 clinicians in this Medicare group
Family Medicine
2101 JACKSON ST STE 109
Anderson, IN 46016
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15904 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 12

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

Nurse Practitioner (Primary Care)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Clinic/Center (Dental)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Dentist (General Practice)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Family Medicine
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904

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 Lori Claycomb's NPI number?

The NPI number for Lori Claycomb is 1023779527. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Lori Claycomb located?

Lori Claycomb practices at 1415 Eisenhower Blvd, Johnstown, PA 15904. The listed phone number is (814) 615-2014.

What is Lori Claycomb's specialty?

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

Is Lori Claycomb enrolled in Medicare?

Yes. Lori Claycomb 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.

Which organizations bill Medicare for Lori Claycomb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Claycomb reassigns Medicare benefits to 3 organizations: Consonant Healing Medical Associates (Silver Spring, MD), Lifeline Medical Center (Anderson, IN) and Healing Partners Plus PLLC (Naperville, IL). 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 Lori Claycomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Claycomb was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.