CMS-1500 Box 24J / 33a • NPI
1063461713
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
721 MADISON ST SE, HUNTSVILLE, AL, 35801-4408
✓ 9-Digit EDI 837 ZIP+4 (35801-4408)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063461713 (TRACEY L ACHENBACH, CRNA) 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 #1063461713)
Medicare Beneficiaries
191
Total Billed Services
191
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$22,759.07
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 51 |
00811 | Anesthesia for other procedure on large bowel using an endoscope | 85 |
00812 | Anesthesia for exam of colon using an endoscope | 25 |
00813 | Anesthesia for procedure on small and large bowel using an endoscope | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063461713 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TRACEY L ACHENBACH, CRNA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 721 MADISON ST SE, HUNTSVILLE, AL, 35801-4408 |
| Practice Telephone / Fax | Tel: (256) 880-6711 | Fax: (256) 880-6712 |
| Administrative Mailing Address | PO BOX 288, HUNTSVILLE, AL, 35804-0288 |
| Enumeration & Last Sync | Enumerated: 2006-05-09 | CMS Record Updated: 2020-12-11 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TRACEY L ACHENBACH, CRNA)
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 |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: AL | License: 1-105829 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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