CLAY CHURCH NP
NPI 1083264592
Nurse Practitioner - Family in Farmington, NM
About Clay Church Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY CHURCH NP (NPI 1083264592) is an individual family provider in Farmington, New Mexico, licensed in New Mexico (57227) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Clay Church Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Clay Church reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, NM 87401
- Reassigned Medicare billing, New Mexico enrollment
- 368 clinicians in this Medicare group
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 24 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FARMINGTON, NM 87401
FARMINGTON, NM 87401
FARMINGTON, NM 87401
FARMINGTON, NM 87401
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 Clay Church's NPI number?
The NPI number for Clay Church is 1083264592. It was assigned to this individual provider in the NPPES registry on September 17, 2019.
Where is Clay Church located?
Clay Church practices at 801 W Maple St, Farmington, NM 87401. The listed phone number is (505) 609-2000.
What is Clay Church's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Clay Church enrolled in Medicare?
Yes. Clay Church 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 Clay Church's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clay Church reassigns Medicare benefits to 2 organizations: San Juan Regional Medical Center Inc (Farmington, NM) and Total Healthcare (Durango, CO). 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 Clay Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clay Church accept?
Health plans from University of Utah Health Plans list Clay Church 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 Clay Church was last updated on September 17, 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.
# Clay Church, NP · NPI 1083264592
Family physician in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1083264592 (Entity type: Individual)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 57227 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 W MAPLE ST, Farmington, NM 87401-5630
- **Phone:** (505) 609-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): San Juan Regional Medical Center Inc (NPI 1518932151, Farmington, NM); Total Healthcare (NPI 1144831033, Durango, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083264592) · Data from the CMS NPPES public registry.