DANA CLAYTER – Family Nurse Practitioner, NPI 1053117622

DANA CLAYTER is a healthcare provider. based in Richton park, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.031626 (IL). The NPI Number for DANA CLAYTER is 1053117622

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DANA CLAYTER
NPI
1053117622
Phone
Not provided
Address
4801 SAUK TRL UNIT B
Enumeration Date
24 February 2025
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305815372
Graduation Year
2024 (2 years ago)
PAC ID
8426558339
Group Practice PAC ID
0547495467
Professional Enrollment ID
I20250825002945
Address ID
IL605272325WI40XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DANA CLAYTER

  • 4801 SAUK TRL UNIT B

    RICHTON PARK, IL 604711017

    Phone:

    Type: Mailing

  • 40 75TH ST

    WILLOWBROOK, IL 605272325

    Phone: (630) 400-4060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250825002945INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547495467View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerTX
Family PracticeIL
Hospitalist, Family PracticeIL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

How do payers reference DANA CLAYTER?
For DANA CLAYTER, use NPI 1053117622 as the unique 10-digit identifier.
Would DANA CLAYTER appear as active to a payer?
You can treat DANA CLAYTER as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DANA CLAYTER?
At a glance, DANA CLAYTER is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DANA CLAYTER associated with Richton Park?
Public fields place DANA CLAYTER around Richton Park, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DANA CLAYTER is noted as February 24, 2025 where the registry provides it.

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