Individual provider Active NPI

Sandy Kay Clayton, M.D.

  • Emergency Medicine Physician
  • Decorah, IA
National Provider Identifier
1578827465
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-44860 Issued in IA
Practice address
901 Montgomery St.
Medical Staff Services
Decorah, IA 52101-2325
Phone
(563) 382-2911
Fax
(563) 382-4143
NPI assigned
Jun 26, 2012
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 66067 MN
Emergency Medicine Physician 207P00000X RTP005630 GA
Emergency Medicine Physician 207P00000X MD-44860 IA Primary

Addresses

Primary practice location

901 Montgomery St.
Medical Staff Services
Decorah, IA 52101-2325

Mailing address

901 Montgomery St.
Medical Staff Services
Decorah, IA 52101-2325
Phone (563) 382-2911

Other practice location 1

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-2800

Other practice location 2

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000

Other identifiers 1

IdentifierTypeStateIssuer
1578827465MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sclayton488725@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180412001626 IA Practitioner - Emergency Medicine 4082852751 Reassigns benefits to 2 organizations
I20190814003193 WI Practitioner - Emergency Medicine 4082852751 Reassigns benefits to 2 organizations
I20190827000167 MN Practitioner - Emergency Medicine 4082852751 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RTP005630GAMDEmergency Medicine Physician
MD-44860IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-St James CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Winneshiek Medical Center CurrentSince Apr 1, 2018 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 26, 2019 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Winneshiek Medical Center CurrentSince Apr 1, 2018 Accepting new patients

Locations

901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

501 State St N
Waseca, MN 56093
Phone (507) 835-1210

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

Interoperability endpoints

  • Direct secure messaging: sclayton136122@uihcdirect.org
  • Direct secure messaging: sclayton488725@ehrdirect.mayoclinicmsg.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1578827465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST.",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST.",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 College Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023381",
            "country_code": "US",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Hewitt Blvd",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550662848",
            "country_code": "US",
            "telephone_number": "651-267-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SANDY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "66067",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "RTP005630",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-44860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578827465",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclayton488725@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "901 Montgomery St.",
            "address_2": "Medical Staff Services",
            "city": "Decorah",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521012325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.