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CLAYTON THOMAS ANDERSON FNP-C
NPI 1225563307
Nurse Practitioner - Family in Hendersonville, TN

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
353 NEW SHACKLE ISLAND RD, SUITE #300C, HENDERSONVILLE, TN 37075(615) 824-0043 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Apr 26, 2017 (2 updates tracked since 2017).

About Clayton Thomas Anderson Fnp-c NPPES

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

CLAYTON THOMAS ANDERSON FNP-C (NPI 1225563307) is an individual family provider in Hendersonville, Tennessee, licensed in Tennessee (22222) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and maintains a secondary practice location in Murfreesboro.

NPPES Registry Identity

NPI1225563307
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLAYTON THOMAS ANDERSONCredential: FNP-C
Location Address353 NEW SHACKLE ISLAND RD, SUITE #300CHendersonville, TN 37075-2379
Mailing Address452 Moss Trl Apt J16Goodlettsville, TN 37072-2055 · (731) 414-5318
Phone(615) 824-0043
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 26, 2017
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1225563307 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 TN · 22222
353 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Medical Center Pkwy Ste 310Murfreesboro, TN 37129-2586 · Phone (615) 849-9868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health, Oscar Insurance Company.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

Clayton Thomas Anderson Fnp-c 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 ID6800167115
PECOS Enrollment IDI20170804001859
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

4

Medicare enrollment records show Clayton Anderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anova Medical Associates, Plc
8.6 mi
Hospitalist
1156 NASHVILLE PIKE
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 195 clinicians in this Medicare group
NPI 1659849537 (615) 989-1088
Saint Thomas Medical Partners
16 mi
Internal Medicine
2011 MURPHY AVE, SUITE 301
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1437194669 (615) 327-9543
Havely Springs Physician Services, PC
34 mi
Hospitalist
1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 116 clinicians in this Medicare group
NPI 1710494174 (615) 396-4100
Rutherford Intensivist Group PC
34 mi
Critical Care Medicine
1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 21 clinicians in this Medicare group
NPI 1942021183 (675) 396-4100

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 services29 patients
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.
28 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. ELISHA FORD HILL FNP-BC
Nurse Practitioner (Family)
353 NEW SHACKLE ISLAND RD, 141 C
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3100
JESSICA MITCHELL PA-C
Physician Assistant
353 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 824-3737
DIGESTIVE DISEASE ASSOCIATES, P.C.
Internal Medicine (Gastroenterology)
353 NEW SHACKLE ISLAND RD, SUITE 222-B
HENDERSONVILLE, TN 37075
Sumner County (615) 824-4940
RIVERGATE SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, P.C.
Specialist
353 NEW SHACKLE ISLAND RD, SUITE 110A
HENDERSONVILLE, TN 37075
Sumner County (615) 264-4785
LAKEVUE PLASTIC & RECONSTRUCTIVE SURGERY PLLC
Specialist
353 NEW SHACKLE ISLAND RD, SUITE 244 C
HENDERSONVILLE, TN 37075
Sumner County (615) 459-4531
BETTER YOU, PLLC
Family Medicine (Adult Medicine)
353 NEW SHACKLE ISLAND RD, SUITE 142-C
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3142
JUNG H. LEE M.D.
Internal Medicine (Cardiovascular Disease)
353 NEW SHACKLE ISLAND RD, #300C
HENDERSONVILLE, TN 37075
Sumner County (615) 338-3337
DR. PETER B KROLL M.D.
Anesthesiology (Pain Medicine)
353 NEW SHACKLE ISLAND RD, SUITE 122B
HENDERSONVILLE, TN 37075
Sumner County (615) 824-3737

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 Clayton Anderson's NPI number?

The NPI number for Clayton Anderson is 1225563307. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Clayton Anderson located?

Clayton Anderson practices at 353 New Shackle Island Rd Suite #300c, Hendersonville, TN 37075. The listed phone number is (615) 824-0043.

What is Clayton Anderson's specialty?

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

Is Clayton Anderson enrolled in Medicare?

Yes. Clayton Anderson 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 Clayton Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Anderson reassigns Medicare benefits to 4 organizations: Anova Medical Associates, Plc (Gallatin, TN), Saint Thomas Medical Partners (Nashville, TN), Havely Springs Physician Services, PC (Murfreesboro, TN) and Rutherford Intensivist Group PC (Murfreesboro, TN). 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 Clayton Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Anderson accept?

Health plans from Cigna Healthcare, Oscar Health and Oscar Insurance Company list Clayton Anderson 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.

Is Clayton Anderson affiliated with any hospitals?

According to CMS data, Clayton Anderson is affiliated with Saint Thomas Rutherford Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Anderson was last updated on July 16, 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.