MR. CLAYTON HALL FNP-BC
NPI 1053898031
Nurse Practitioner - Family in Mesa, AZ

Q: What is Clayton Hall's NPI number?

The NPI number for Clayton Hall is 1053898031. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Q: What is Clayton Hall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clayton Hall was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 23, 2018PECOS Enrolled

4824 E BASELINE RD STE 140, MESA, AZ 85206(480) 969-4040(480) 830-1042 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2019, May 31, 2019, Mar 1, 2019 and 1 more (4 updates tracked since 2018).

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About Mr. Clayton Hall Fnp-bc NPPES

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

MR. CLAYTON HALL FNP-BC (NPI 1053898031) is an individual family provider in Mesa, Arizona, licensed in Arizona (RN189797) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053898031

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CLAYTON HALLCredential: FNP-BC

Location Address4824 E BASELINE RD STE 140Mesa, AZ 85206-4680

Mailing Address4824 E Baseline Rd Ste 140Mesa, AZ 85206-4680 · (480) 969-4040 · Fax (480) 830-1042

Phone(480) 969-4040

Fax(480) 830-1042

Sole ProprietorNo

Enumeration DateJuly 23, 2018

Last NPPES UpdateJuly 23, 20194 updates tracked since enumeration

✔ NPI 1053898031 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 AZ · RN189797

4824 E BASELINE RD STE 140, Mesa, AZ 85206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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)

Mr. Clayton Hall Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 10

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

DR. GRACE ANDREA HAYNES MD

Family Medicine