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TRICIA ANN CLAYTON MSN,FNP-BC,NP-C
NPI 1679963920
Nurse Practitioner - Family in Alton, IL

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3 PROFESSIONAL DR STE B, ALTON, IL 62002(618) 465-7177(618) 465-7176 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tricia Ann Clayton Msn,fnp-bc,np-c NPPES

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

TRICIA ANN CLAYTON MSN,FNP-BC,NP-C (NPI 1679963920) is an individual family provider in Alton, Illinois, licensed in Illinois (209012478) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679963920
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRICIA ANN CLAYTONCredential: MSN,FNP-BC,NP-C
Location Address3 PROFESSIONAL DR STE BAlton, IL 62002-5067
Mailing Address131 Saundersville Road, Suite 160Hendersonville, TN 37075 · (314) 317-0184
Phone(618) 465-7177
Fax(618) 465-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 26, 2015
Last NPPES UpdateSeptember 5, 2017
✔ NPI 1679963920 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 IL · 209012478
3 PROFESSIONAL DR STE B, Alton, IL 62002
Open in Google Maps ↗

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

Tricia Ann Clayton Msn,fnp-bc,np-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 ID5890010920
PECOS Enrollment IDI20150317001602
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 4

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.
909 services192 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.
293 services118 patients
Electronic analysis of spinal canal drug infusion pump 62367
Electronic analysis of a spinal canal drug infusion pump is a procedure to check how well your medication pump is functioning. This pump delivers pain-relieving drugs directly to your spinal canal. The analysis ensures the correct dosage and proper functioning of the device.
25 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERVENTIONAL PAIN CONSULTANTS LLC
Pain Medicine (Interventional Pain Medicine)
3 PROFESSIONAL DR STE B
ALTON, IL 62002
Madison County (618) 465-7177
ANESTHESIA SERVICES ASSOCIATES PLLC
Nurse Practitioner (Family)
3 PROFESSIONAL DR STE B
ALTON, IL 62002
Madison County (618) 465-7177
WYNNDEL T BUENGER MD
Pain Medicine (Pain Medicine)
3 PROFESSIONAL DR STE B
ALTON, IL 62002
Madison County (618) 465-7177

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 Tricia Clayton's NPI number?

The NPI number for Tricia Clayton is 1679963920. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Tricia Clayton located?

Tricia Clayton practices at 3 Professional Dr Ste B, Alton, IL 62002. The listed phone number is (618) 465-7177.

What is Tricia Clayton's specialty?

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

Is Tricia Clayton enrolled in Medicare?

Yes. Tricia 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.

Is Tricia Clayton affiliated with any hospitals?

According to CMS data, Tricia Clayton is affiliated with Osf Saint Anthony's Health Center, Jersey Community Hospital, Hshs St Elizabeth's Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Tricia Clayton was last updated on September 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.