Makayla Clifton
Individual provider Active NPI Family Nurse Practitioner · Palestine, TX
NPI 1669017745 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1669017745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1200917 (TX)
- Practice address
- 4002 S Loop 256
Palestine, TX 75801-8491 - Phone
- (903) 729-3015
- Fax
- (903) 729-3015
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mt Enterprise Community Health Clinic
Practice addresses (Care Compare)
106 W Rusk St
Mt Enterprise, TX 75681-7581
Phone (903) 822-3076
Hospital & facility affiliations
- Palestine Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250725000718 | TX | Practitioner - Nurse Practitioner | 0446767461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 922785 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Enterprise Community Health Clinic | Current |
Accepting new patients | |
| Mt Enterprise Community Health Clinic | Current |
Accepting new patients | |
| Mt Enterprise Community Health Clinic | Current | Accepting new patients | |
| Mt Enterprise Community Health Clinic | Past | Accepting new patients |
Locations
300 N High St
Henderson, TX 75652
Phone (903) 392-8203
1115 US Highway 259 S
Henderson, TX 75654
Phone (903) 392-8203
4002 S Loop 256
Ste K
Palestine, TX 75801
Phone (903) 723-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 922785 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1200917 | TX | Yes |
Addresses
Primary practice location
4002 S Loop 256
Palestine, TX 75801-8491
Mailing address
4002 S Loop 256 Ste K
Palestine, TX 75801-8402
Phone (903) 729-3015
Other providers in Palestine, TX
- Cathy Renea Cheatham
- Thomas Chick
- Lareen K Chonzena
- Bryan Cleveland
- Ellen Cleveland
- Coastal Kids Autism Treatment Center, LLC
- Melissa Marie Cobb
- Desiree Amber Cody
- Relvert J. Coe Jr.
- Hollie Coker
All providers in Palestine, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.