DR. CLAYTON CHARLES CLARK FNP
NPI 1902697469
Nurse Practitioner - Family in Columbia, MO
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
Specialties & Licenses
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
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.
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.
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.
COLUMBIA, MO 65212
COLUMBIA, MO 65212
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.
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 8 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.
# Dr. Clayton Charles Clark, FNP · NPI 1902697469
Family physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since May 14, 2025.
## Identity
- **NPI:** 1902697469 (Entity type: Individual)
- **Enumerated:** May 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2025011301 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** ONE HOSPITAL DR, Columbia, MO 65212-0001
- **Phone:** (573) 882-2738
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902697469) · Data from the CMS NPPES public registry.