ERIN CLAYTON
NPI 1396403689
Nurse Practitioner in Beloit, WI

Q: What is Erin Clayton's NPI number?

The NPI number for Erin Clayton is 1396403689. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Q: What is Erin Clayton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Clayton was last updated on December 3, 2021. 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.

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment

73.05/100

CMS Quality Rating

1905 E HUEBBE PKWY, BELOIT, WI 53511(608) 364-2200 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erin Clayton NPPES

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

ERIN CLAYTON (NPI 1396403689) is an individual nurse practitioner in Beloit, Wisconsin, licensed in Wisconsin (11455-33) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396403689

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameERIN CLAYTON

Location Address1905 E HUEBBE PKWYBeloit, WI 53511-1842

Mailing Address1905 E Huebbe PkwyBeloit, WI 53511-1842 · (608) 364-2200

Phone(608) 364-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 3, 2021

NPPES CertifiedDecember 3, 2021

✔ NPI 1396403689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 11455-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1905 E HUEBBE PKWY, Beloit, WI 53511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Clayton 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 ID2961894860

PECOS Enrollment IDI20220127000646

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.

Areas of Expertise CMS Part B claims 2

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.

223 services101 patients

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.

53 services43 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

73.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.79

Promoting Interoperability

100

Improvement Activities

Cost

51.38

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.

KAYCE J THOMPSON PTA

Physical Therapy Assistant

1905 E HUEBBE PKWY
BELOIT, WI 53511

Rock County (608) 364-2293

MADELENE G. HAMANN N.P.

Nurse Practitioner

1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2240

JUDITH MARIE WARNKE O.T.

Occupational Therapist

1905 E HUEBBE PKWY
BELOIT, WI 53511

Rock County (608) 364-2200

MS. CINDY I DAMON APNP

Nurse Practitioner

1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2200

JOANNE SYLVIA PICKETT 225X00000X

Occupational Therapist

1905 E HUEBBE PKWY
BELOIT, WI 53511

Rock County (608) 364-2200

CHRISTINA HUGHES NP

Nurse Practitioner (Family)

1905 E HUEBBE PKWY
BELOIT, WI 53511

Rock County (608) 363-2240

DR. DAVID K YOON M.D.

Internal Medicine (Gastroenterology)

1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-1460

KELSEY LEE BEAUMONT

Physician Assistant (Medical)

1905 E HUEBBE PKWY
BELOIT, WI 53511

Rock County (608) 364-2200

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 Erin Clayton's NPI number?

The NPI number for Erin Clayton is 1396403689. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Erin Clayton located?

Erin Clayton practices at 1905 E Huebbe Pkwy, Beloit, WI 53511. The listed phone number is (608) 364-2200.

What is Erin Clayton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Clayton enrolled in Medicare?

Yes. Erin Clayton 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.

What insurance does Erin Clayton accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Erin Clayton 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 Erin Clayton affiliated with any hospitals?

According to CMS data, Erin Clayton is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Erin Clayton was last updated on December 3, 2021. 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.