TYRELL KAMAL CLAY FNP
NPI 1396594891
Nurse Practitioner - Family in Bronx, NY

Q: What is Tyrell Clay's NPI number?

The NPI number for Tyrell Clay is 1396594891. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Q: What is Tyrell Clay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyrell Clay was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 16, 2024PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(718) 537-6180 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, May 16, 2024 (2 updates tracked since 2024).

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About Tyrell Kamal Clay Fnp NPPES

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

TYRELL KAMAL CLAY FNP (NPI 1396594891) is an individual family provider in Bronx, New York, licensed in New York (F353727) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396594891

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYRELL KAMAL CLAYCredential: FNP

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 583-7736

Fax(718) 537-6180

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 16, 2024

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1396594891 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 NY · F353727

2015 GRAND CONCOURSE, Bronx, NY 10453

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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

Tyrell Kamal Clay Fnp 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 ID6002353521

PECOS Enrollment IDI20240801003615

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 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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

28 services19 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

19 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)