CMS-1500 Box 24J / 33a • NPI
1033443700
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
575 W STATE HIGHWAY 243, CANTON, TX, 75103-2113
✓ 9-Digit EDI 837 ZIP+4 (75103-2113)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1033443700 (YAN CAO) 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 #1033443700)
Medicare Beneficiaries
52
Total Billed Services
163
Distinct CPT/HCPCS Codes
2
Medicare Allowed Total
$13,457.43
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 159 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Abilify Maintena Aripiprazole | 23 | <11 |
| Alprazolam Alprazolam | 12 | <11 |
| Amantadine Amantadine Hcl | 23 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 46 | <11 |
| Aripiprazole Aripiprazole | 199 | 36 |
| Asenapine Maleate Asenapine Maleate | 11 | <11 |
| Atomoxetine Hcl Atomoxetine Hcl | 16 | <11 |
| Benztropine Mesylate Benztropine Mesylate | 181 | 37 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1033443700 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | YAN CAO |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 575 W STATE HIGHWAY 243, CANTON, TX, 75103-2113 |
| Practice Telephone / Fax | Tel: (903) 567-4197 | Fax: (903) 535-7384 |
| Administrative Mailing Address | 2323 W FRONT ST, TYLER, TX, 75702-7747 |
| Enumeration & Last Sync | Enumerated: 2009-09-28 | CMS Record Updated: 2022-08-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (YAN CAO)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: TX | License: 859245 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: WI | License: 3845-33 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: WI | License: 3845-33 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: TX | License: AP125462 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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