Clay Church, NP - Medicare Nurse Practitioner in Farmington, NM

Clay Church, NP is a medicare enrolled "Nurse Practitioner - Family" in Farmington, New Mexico. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Total Healthcare and his current practice location is 801 W Maple St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 609-2000.

Clay Church is licensed to practice in New Mexico (license number 57227) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083264592.

Contact Information

Clay Church, NP
801 W Maple St,
Farmington, NM 87401-5630
(505) 609-2000
Not Available

Map and Direction




Provider's Profile

Full NameClay Church
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location801 W Maple St, Farmington, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clay Church graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1083264592
  • Provider Enumeration Date: 09/17/2019
  • Last Update Date: 09/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103254586
  • Enrollment ID: I20230419002612

Medical Identifiers

Medical identifiers for Clay Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083264592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 57227 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Regional Medical CenterDurango, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Total Healthcare105221481428

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clay Church allows following entities to bill medicare on his behalf.
Entity NameTotal Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669420410
PECOS PAC ID: 1052214814
Enrollment ID: O20040129000282

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clay Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clay Church, NP
Po Box 6210,
Farmington, NM 87499-6210

Ph: (505) 609-2258
Clay Church, NP
801 W Maple St,
Farmington, NM 87401-5630

Ph: (505) 609-2000

Reviews and Comments


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Ms. Mois A Johnson, NP
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Practice Location: 203 W Main St, Farmington, NM 87401
Phone: 505-517-4181    Fax: 505-333-0444

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.