Individual provider Active NPI

Clayton Allan Maze, FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1356183420
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1166392 Issued in TX
Practice address
4280 Main St Ste 200
Frisco, TX 75033-3080
Phone
(972) 464-2510
NPI assigned
Jun 10, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1166392 TX Primary

Addresses

Primary practice location

4280 Main St Ste 200
Frisco, TX 75033-3080

Mailing address

13349 Terlingua Creek Dr
Frisco, TX 75033-3233
Phone (214) 430-7467

Other practice location 1

13349 Terlingua Creek Dr
Frisco, TX 75033-3233
Phone (214) 430-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709003596 TX Practitioner - Nurse Practitioner 8729523261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1166392TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berg & Minigutti, PLLC CurrentSince Jul 3, 2024 Accepting new patients
Berg & Minigutti, PLLC PastSince Jul 3, 2024 Accepting new patients

Locations

4280 Main St
Ste 200
Frisco, TX 75033
Phone (972) 464-2510

8000 Eldorado Pkwy
Bldg D
McKinney, TX 75070
Phone (972) 464-2510

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1356183420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13349 TERLINGUA CREEK DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333233",
            "telephone_number": "214-430-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13349 Terlingua Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750333233",
            "country_code": "US",
            "telephone_number": "214-430-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZE",
        "first_name": "CLAYTON",
        "middle_name": "ALLAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1166392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.