ANDREA CLAY CPNP
NPI 1215484878
Nurse Practitioner - Pediatrics in Fort Worth, TX

Q: What is Andrea Clay's NPI number?

The NPI number for Andrea Clay is 1215484878. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Andrea Urso.

Q: What is Andrea Clay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Clay was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 01, 2016PECOS Enrolled

1401 W PULASKI ST, FORT WORTH, TX 76104(682) 885-8012(682) 885-8014 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2023, Apr 20, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2016).

On this page

About Andrea Clay Cpnp NPPES

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

ANDREA CLAY CPNP (NPI 1215484878) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (781188) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215484878

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANDREA CLAYCredential: CPNP

Location Address1401 W PULASKI STFort Worth, TX 76104-2717

Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-1855 · Fax (682) 885-7347

Phone(682) 885-8012

Fax(682) 885-8014

Sole ProprietorNo

Enumeration DateSeptember 1, 2016

Last NPPES UpdateMarch 31, 20234 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1215484878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 781188

1401 W PULASKI ST, Fort Worth, TX 76104

Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Urso

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)

Andrea Clay Cpnp 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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Leave this field empty

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.

HINA AZIZ REHMAN MD

Pediatrics