Jessica Kaye Claycomb, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP033412 Issued in PA

Practice address

1701 12TH Ave
Altoona, PA 16601-3100

Phone

(814) 942-9600

Fax

(814) 942-9617

NPI assigned

Jun 13, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1336035641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYCOMB",
        "first_name": "JESSICA",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046603160001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046603160003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046603160002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johncie Lynn Clark, MSCP
• Katelyn Clark
• Taylor Clark, PHD
• Katie Clauss
• Cinthia Claycomb-Dively
• Danielle Nicole Claypoole, PA-C
• Abigail Clayton
• Benjamin Robert Clayton
• Timothy Jason Clayton, D.C.
• Kelsey Cleveland-Rubeor, DPT

• Family Nurse Practitioner in Altoona, PA
• Providers in Altoona, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.