EMPOWERED ASSISTED LIVING, LLC — NPI 1043926884 (Licensed & Credentialed Registered Nurse in TIMPSON, TX)

CMS-1500 Box 24J / 33a • NPI

1043926884

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

719 US HIGHWAY 59 N, TIMPSON, TX, 75975-5108

✓ 9-Digit EDI 837 ZIP+4 (75975-5108)

Practice Phone & Referral Fax

(936) 274-3050

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043926884 (EMPOWERED ASSISTED LIVING, LLC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043926884` (NPI-2 Organization / Facility)
Provider / Legal Name	EMPOWERED ASSISTED LIVING, LLC
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	719 US HIGHWAY 59 N, TIMPSON, TX, 75975-5108
Practice Telephone / Fax	Tel: (936) 274-3050
Administrative Mailing Address	760 STATE HIGHWAY 147, CENTER, TX, 75935-6483
Enumeration & Last Sync	Enumerated: 2023-01-25 \| CMS Record Updated: 2023-02-13
Authorized Official	ARLISIA STANSBERRY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

719 US HIGHWAY 59 N, TIMPSON, TX, 75975-5108

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (EMPOWERED ASSISTED LIVING, LLC)

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

Common Therapeutic Classes:

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
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: N/A \| License: `Verified` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: N/A \| License: `Verified` \| Primary: Secondary
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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EMPOWERED ASSISTED LIVING, LLC (NPI #1043926884)