NATHAN CLAGG II NP
NPI 1083379663
Nurse Practitioner - Family in Gallipolis, OH

Active since November 08, 2021PECOS Enrolled
936 STATE ROUTE 160, GALLIPOLIS, OH 45631(740) 446-4600 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2022, Nov 8, 2021 (2 updates tracked since 2021).

About Nathan Clagg Ii Np NPPES

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

NATHAN CLAGG II NP (NPI 1083379663) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.0030137) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083379663
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHAN CLAGG IICredential: NP
Location Address936 STATE ROUTE 160Gallipolis, OH 45631-8243
Mailing AddressPo Box 390Huntington, WV 25708-0390
Sole ProprietorNo
Enumeration DateNovember 8, 2021
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1083379663 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
Licenses✔ Licensed in OH · APRN.CNP.0030137✔ Licensed in WV · 111960
936 STATE ROUTE 160, Gallipolis, OH 45631

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Clagg Ii Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Clagg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1300 WINDLASS DR
Middle River, MD 21220
  • Reassigned Medicare billing, West Virginia enrollment
  • 13 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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
188 services25 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
29 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

Clinic/Center (Federally Qualified Health Center (FQHC))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Clinic/Center (Multi-Specialty)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Nurse Practitioner (Psychiatric/Mental Health)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Family Medicine
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Counselor (Addiction (Substance Use Disorder))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Clinic/Center (Federally Qualified Health Center (FQHC))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631

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 Nathan Clagg's NPI number?

The NPI number for Nathan Clagg is 1083379663. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Nathan Clagg located?

Nathan Clagg practices at 936 State Route 160, Gallipolis, OH 45631. The listed phone number is (740) 446-4600.

What is Nathan Clagg's specialty?

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

Is Nathan Clagg enrolled in Medicare?

Yes. Nathan Clagg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Clagg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Clagg reassigns Medicare benefits to 2 organizations: Ohio Valley Physicians Inc (Huntington, WV) and Comprehensive Rehab Consultants PLLC (Middle River, MD). 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 Nathan Clagg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Clagg accept?

Health plans from CareSource list Nathan Clagg 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 Nathan Clagg was last updated on September 7, 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.