NPIMap

Individual provider Active NPI

Clayton Donald House, FNP-C

  • Primary Care Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1780282004
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704277180 Issued in MI
Practice address
3111 Electric Ave
Port Huron, MI 48060-8127
Phone
(810) 985-4747
NPI assigned
Oct 9, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marlette Regional Hospital 32 clinicians

Practice addresses (Care Compare)

2770 Main St
Marlette, MI 48453-1141
Phone (989) 635-4000

Hospital & facility affiliations

  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210119001998 MI Practitioner - Nurse Practitioner 6305259045 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704277180MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marlette Regional Hospital CurrentSince Aug 9, 2021 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Apr 22, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Marlette Regional Hospital Current Accepting new patients
K & M Medical & Catastrophic Management, LLC CurrentSince Jul 2, 2022 Accepting new patients
Marlette Regional Hospital CurrentSince Aug 9, 2021 Accepting new patients
Health Emergency Assistance of Detroit CurrentSince Dec 1, 2020 Accepting new patients
Cardiology Assoc of Port Huron Past Accepting new patients
Port Huron Physicians Medical Group PC PastSince Mar 21, 2021 Accepting new patients
Marlette Regional Hospital Past Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

2770 Main St
Ste 1
Marlette, MI 48453

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050

3111 Electric Ave
Port Huron, MI 48060
Phone (810) 985-4747

3005 E 11 Mile Rd
Ste C
Warren, MI 48092
Phone (586) 580-7690

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/
  • Direct secure messaging: chouse165426@direct.covenanthealthcare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: chouse833280@direct.hfhs.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704277180 MI
Primary Care Nurse Practitioner 363LP2300X 4704277180 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Mailing address

620 N Fairgrounds Rd
Imlay City, MI 48444-9490
Phone (810) 441-1347

Other practice location 1

1222 10th Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2021.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1780282004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N FAIRGROUNDS RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449490",
            "telephone_number": "810-441-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480608127",
            "telephone_number": "810-985-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603406",
            "country_code": "US",
            "telephone_number": "810-985-9681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "CLAYTON",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704277180",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704277180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.