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DR. CLAYTON CHARLES CLARK FNP
NPI 1902697469
Nurse Practitioner - Family in Columbia, MO

Active since May 14, 2025PECOS EnrolledAccepts Medicare Assignment
ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2738 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, May 14, 2025 (2 updates tracked since 2025).

About Dr. Clayton Charles Clark Fnp NPPES

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

DR. CLAYTON CHARLES CLARK FNP (NPI 1902697469) is an individual family provider in Columbia, Missouri, licensed in Missouri (2025011301) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902697469
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. CLAYTON CHARLES CLARKCredential: FNP
Location AddressONE HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 882-2738
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 14, 2025
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1902697469 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 MO · 2025011301
ONE HOSPITAL DR, Columbia, MO 65212
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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

Dr. Clayton Charles Clark 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 ID4082106349
PECOS Enrollment IDI20251124002774
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 Reassignment

Medicare enrollment records show Clayton Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Curators Of The University Of Missouri
0.1 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

KARI A MYLENBUSCH CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
SARAH MARIE VON THAER MD
Anesthesiology
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
JENNIFER MICHELLE KANDLIK F.N.P.
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-8788
SHEILA MARIE STRUCKMEYER FNP
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-4400
JACK DWAYNE BRAGG DO
Internal Medicine (Gastroenterology)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-8445
MRS. MEGAN ELAINE HILDERBRAND CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
CURATORS OF THE UNIVERSITY OF MISSOURI
Specialist (Research Study)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-3019
DR. LAURA E. HENDERSON KELLEY M.D, MPH
Hospitalist
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-9066

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 Clark's NPI number?

The NPI number for Clayton Clark is 1902697469. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Clayton Clark located?

Clayton Clark practices at One Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-2738.

What is Clayton Clark's specialty?

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

Is Clayton Clark enrolled in Medicare?

Yes. Clayton Clark 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 organization bills Medicare for Clayton Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Clark reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). The 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Clark accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Clayton Clark 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.

When was this NPI record last updated?

The NPPES record for Clayton Clark was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.