Individual provider Active NPI

Marie Hart Clayton, MSN, RN, CCEP

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1932970761
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5033019-4405 Issued in UT
Practice address
3848 Harrison Blvd
Ogden, UT 84408-0001
Phone
(801) 626-6000
NPI assigned
Jan 10, 2024
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X STUDENT UT
Family Nurse Practitioner 363LF0000X 5033019-4405 UT Primary

Addresses

Primary practice location

3848 Harrison Blvd
Ogden, UT 84408-0001

Mailing address

1924 W Joseph Acres Rd
Kaysville, UT 84037-4817
Phone (801) 682-3676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20251002004196 UT Practitioner - Nurse Practitioner 5991201451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

4141 S Highland Dr
Unit 304
Holladay, UT 84124-2642
Phone (480) 493-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
STUDENTUTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Solutions, LLC CurrentSince Jul 20, 2025 Accepting new patients

Locations

4141 S Highland Dr
Unit 304
Salt Lake City, UT 84124
Phone (480) 493-0900

Interoperability endpoints

  • Direct secure messaging: marie.clayton.1@31166.direct.athenahealth.com

Organizations & group practices 1

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1932970761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 W JOSEPH ACRES RD",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374817",
            "telephone_number": "801-682-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844080001",
            "telephone_number": "801-626-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "MARIE",
        "middle_name": "HART",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CCEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5033019-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.