CMS-1500 Box 24J / 33a • NPI
1033531512
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
PO BOX 98, FAYETTE, MS, 39069-0098
✓ 9-Digit EDI 837 ZIP+4 (39069-0098)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1033531512 (JERMONIQUE KING, 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
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 #1033531512)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 14 | 11 |
| Amlodipine Besylate Amlodipine Besylate | 51 | 37 |
| Amoxicillin Amoxicillin | 19 | 17 |
| Atorvastatin Calcium Atorvastatin Calcium | 15 | 14 |
| Azithromycin Azithromycin | 16 | 15 |
| Clonidine Hcl Clonidine Hcl | 13 | 11 |
| Furosemide Furosemide | 22 | 19 |
| Gabapentin Gabapentin | 19 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1033531512 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JERMONIQUE KING, 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 | PO BOX 98, FAYETTE, MS, 39069-0098 |
| Practice Telephone / Fax | Tel: (601) 786-3475 | Fax: (601) 786-9980 |
| Administrative Mailing Address | PO BOX 98, FAYETTE, MS, 39069-0098 |
| Enumeration & Last Sync | Enumerated: 2014-01-17 | CMS Record Updated: 2024-10-17 |
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 (JERMONIQUE KING, 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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: MS | License: 877508 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MS | License: R877508 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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