MARY ALICE EARHART, LM. RN — NPI 1073653770 (Licensed & Credentialed Registered Nurse, Community Health in THERMAL, CA)

CMS-1500 Box 24J / 33a • NPI

1073653770

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WC1500X

Licensed & Credentialed Registered Nurse, Community Health

Box 32 Service Location & ZIP+4

55100 RUE MARANDE, THERMAL, CA, 92274-9231

✓ 9-Digit EDI 837 ZIP+4 (92274-9231)

Practice Phone & Referral Fax

(760) 392-5046

Fax: (760) 347-8276

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073653770 (MARY ALICE EARHART, LM. RN) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073653770` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARY ALICE EARHART, LM. RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Community Health NUCC Code: `163WC1500X` (Registered Nurse, Community Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	55100 RUE MARANDE, THERMAL, CA, 92274-9231
Practice Telephone / Fax	Tel: (760) 392-5046 \| Fax: (760) 347-8276
Administrative Mailing Address	55100 RUE MARANDE, THERMAL, CA, 92274-9231
Enumeration & Last Sync	Enumerated: 2007-02-08 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

55100 RUE MARANDE, THERMAL, CA, 92274-9231

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Plain-English Taxonomy & CMS Crosswalk (163WC1500X)

What Does Taxonomy Code 163WC1500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC1500X translates to:
"Licensed & Credentialed Registered Nurse, Community Health"

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, Community Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARY ALICE EARHART, LM. RN)

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
`163WA0400X` — Registered Nurse, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder)	State: CA \| License: `361608` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: CA \| License: `361608` \| Primary: Yes (Primary)
`163WM0102X` — Registered Nurse, Maternal Newborn Plain English: Licensed & Credentialed Registered Nurse, Maternal Newborn	State: CA \| License: `361608` \| Primary: Secondary
`163WP1700X` — Registered Nurse, Perinatal Plain English: Licensed & Credentialed Registered Nurse, Perinatal	State: CA \| License: `361608` \| Primary: Secondary
`163WW0101X` — Registered Nurse, Women's Health Care, Ambulatory Plain English: Licensed & Credentialed Registered Nurse, Women's Health Care, Ambulatory	State: CA \| License: `361608` \| Primary: Secondary
`176B00000X` — Midwife Plain English: Licensed & Credentialed Midwife	State: CA \| License: `LM96` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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MARY ALICE EARHART, LM. RN (NPI #1073653770)