MARY KATHRYN CLAYSHULTE
NPI 1396691226
Physician Assistant - Medical in Fort Worth, TX

NPI Status: Active since March 04, 2026

Contact Information

3500 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76107
Phone: (575) 993-9917

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  • Individual
  • Female
  • Physician Assistant
  • Medical

About MARY CLAYSHULTE

This page provides the complete NPI Profile along with additional information for Mary Clayshulte, a primary care provider established in Fort Worth, Texas with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1396691226 assigned on March 2026. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1396691226
Provider Name
MARY KATHRYN CLAYSHULTE
Gender
Female
Entity Type
Individual
Location Address
3500 CAMP BOWIE BLVD FORT WORTH, TX 76107
Location Phone
(575) 993-9917
Mailing Address
3500 CAMP BOWIE BLVD FORT WORTH, TX 76107
Is Sole Proprietor?
No
Enumeration Date
03-04-2026
Last Update Date
03-04-2026
Code Navigator

A primary care provider (PCP) like Mary Clayshulte sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396691226, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 2 + 9 + 2 + 2 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396691226.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
3500 CAMP BOWIE BLVD, EAD 318
FORT WORTH, TX 76107
Pathology (Anatomic Pathology & Clinical Pathology)
3500 CAMP BOWIE BLVD, EAD 318
FORT WORTH, TX 76107
Physician Assistant
3500 CAMP BOWIE BLVD, ENX1 109
FORT WORTH, TX 76107
Family Medicine
3500 CAMP BOWIE BLVD, EAD - 862
FORT WORTH, TX 76107
Pharmacist (Pharmacotherapy)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist (Ambulatory Care)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
General Practice
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Family Medicine
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Family Medicine
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Clinical Medical Laboratory
3500 CAMP BOWIE BLVD
FT WORTH, TX 76107
Pharmacist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist (Pharmacotherapy)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist (Ambulatory Care)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Pharmacist (Critical Care)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Physical Therapist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Neuromusculoskeletal Medicine & OMM
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396691226, enumerated as an "individual" on March 04, 2026.

The provider is located at 3500 CAMP BOWIE BLVD FORT WORTH, TX 76107 and the phone number is (575) 993-9917.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.