CMS-1500 Box 24J / 33a • NPI
1023560067
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
1450 E DIVISION ST, DIAMOND, IL, 60416-6050
✓ 9-Digit EDI 837 ZIP+4 (60416-6050)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023560067 (KAYLYNN SUSTE, NP) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1023560067)
Medicare Beneficiaries
326
Total Billed Services
536
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$37,559.09
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
82962 | Blood glucose (sugar) test performed by hand-held instrument | 15 |
90471 | Administration of vaccine | 15 |
90714 | Diphtheria and tetanus vaccine (7 years or older) | 13 |
94640 | Inhalation treatment for airway obstruction or sputum production | 12 |
96372 | Injection of drug or substance under skin or into muscle | 16 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 194 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 20 | 19 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 86 | 84 |
| Azithromycin Azithromycin | 11 | 11 |
| Cefdinir Cefdinir | 18 | 18 |
| Cephalexin Cephalexin | 47 | 44 |
| Doxycycline Hyclate Doxycycline Hyclate | 42 | 38 |
| Fluconazole Fluconazole | 11 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 16 | 16 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023560067 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KAYLYNN SUSTE, NP |
| 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 | 1450 E DIVISION ST, DIAMOND, IL, 60416-6050 |
| Practice Telephone / Fax | Tel: (815) 634-3500 | Fax: (815) 705-1718 |
| Administrative Mailing Address | 725 SCHOOL ST STE A, MORRIS, IL, 60450-1207 |
| Enumeration & Last Sync | Enumerated: 2016-10-25 | CMS Record Updated: 2020-04-06 |
Clinic Location, Accessibility & Directions
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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 (KAYLYNN SUSTE, NP)
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: IL | License: 209015024 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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