CLAY COLLINS – Family Nurse Practitioner, NPI 1396123451

CLAY COLLINS is a healthcare provider. based in Wichita falls, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP127470 (TX). The NPI Number for CLAY COLLINS is 1396123451

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
CLAY COLLINS
NPI
1396123451
Phone
(940) 447-0217
Address
7985 STATE HIGHWAY 79 S
Enumeration Date
9 May 2015
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402829216
Graduation Year
2014 (12 years ago)
PAC ID
5294004693
Group Practice PAC ID
4284074329
Professional Enrollment ID
I20170628001125
Address ID
TX763014405WI1518XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CLAY COLLINS

  • 7985 STATE HIGHWAY 79 S

    WICHITA FALLS, TX 763100460

    Phone: (940) 447-0217

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($127).

Total Amount

$230

General + Research + Ownership

Payments

5

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-28

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
I20170628001125INurse PractitionerTXTBD

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 76310)

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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: 4284074329View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows CLAY COLLINS across health systems?
The NPI 1396123451 uniquely identifies CLAY COLLINS in U.S. healthcare data.
Is CLAY COLLINS currently accepting referrals based on NPI status?
Registry metadata lists CLAY COLLINS as active.
What services align with CLAY COLLINS's listing?
CLAY COLLINS's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CLAY COLLINS?
CLAY COLLINS is associated with Wichita Falls, Texas in the same public data insurers reference.
Who maintains CLAY COLLINS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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