Individual provider Active NPI

Clayton Allstun Bailey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1720716707
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022045842 Issued in MO
Practice address
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone
(636) 224-1700
Fax
(314) 535-5917
NPI assigned
Aug 9, 2022
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022045842 MO Primary

Addresses

Primary practice location

4066 Dunnica Ave
Saint Louis, MO 63116-3510

Mailing address

2711 E Linwood St
Springfield, MO 65804-1936
Phone (417) 425-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221109002633 AR Practitioner - Nurse Practitioner 9234506973 Reassigns benefits to 3 organizations
I20240227002569 MO Practitioner - Nurse Practitioner 9234506973 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Advent OneGroup PAC ID 9931618329, 5 clinicians

Practice addresses (Care Compare)

212 Willie Ray Dr
Cabot, AR 72023-9171
Phone 8328694818235

3646 S Campbell Ave
Springfield, MO 65807-5202
Phone 5617258997905

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012033480MOMDRegistered Nurse
221606ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychiatry & Addiction Medicine LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Advent One Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Uhs of Springwoods LLC Single Specialty CurrentSince Aug 26, 2022 Accepting new patients
Med Management of Kansas LLC Single Specialty CurrentSince Apr 15, 2025 Accepting new patients

Locations

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

600 NW Pryor Rd
Lees Summit, MO 64081
Phone (816) 251-8000

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

1675 E Seminole St
Ste A1
Springfield, MO 65804
Phone (417) 557-2355

3646 S Campbell Ave
Springfield, MO 65807
Phone (417) 597-4309

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 6

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1720716707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E LINWOOD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041936",
            "telephone_number": "417-425-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 DUNNICA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163510",
            "telephone_number": "636-224-1700",
            "fax_number": "314-535-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CLAYTON",
        "middle_name": "ALLSTUN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022045842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.