CMS-1500 Box 24J / 33a • NPI
1013263979
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
901 4TH ST NW, WATERTOWN, SD, 57201-1558
✓ 9-Digit EDI 837 ZIP+4 (57201-1558)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013263979 (BETHANY K SCHULTZ, CNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1013263979)
Medicare Beneficiaries
152
Total Billed Services
834
Distinct CPT/HCPCS Codes
87
Medicare Allowed Total
$50,448.06
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
71046 | X-ray of chest, 2 views | 39 |
77080 | Dxa bone density measurement of hip, pelvis, spine | 19 |
90480 | Admn sarscov2 vacc 1 dose | 21 |
90662 | Influenza vaccine split virus, preservative free | 23 |
91320 | Sarscv2 vac 30mcg trs-suc im | 20 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 19 |
96372 | Injection of drug or substance under skin or into muscle | 14 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 109 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 48 | 24 |
| Alendronate Sodium Alendronate Sodium | 33 | 12 |
| Allopurinol Allopurinol | 39 | 13 |
| Alprazolam Alprazolam | 33 | 12 |
| Amitriptyline Hcl Amitriptyline Hcl | 29 | 13 |
| Amlodipine Besylate Amlodipine Besylate | 131 | 43 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 19 | 17 |
| Atenolol Atenolol | 33 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013263979 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BETHANY K SCHULTZ, CNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 901 4TH ST NW, WATERTOWN, SD, 57201-1558 |
| Practice Telephone / Fax | Tel: (605) 886-8471 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2012-07-30 | CMS Record Updated: 2024-09-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BETHANY K SCHULTZ, CNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MN | License: CNP4220 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: SD | License: CP000730 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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