CMS-1500 Box 24J / 33a • NPI
1083255459
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LN0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal
Box 32 Service Location & ZIP+4
111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473
✓ 9-Digit EDI 837 ZIP+4 (05401-1473)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083255459 (BRITTNEY ALYSSA ACCAVALLO, 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083255459 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRITTNEY ALYSSA ACCAVALLO, RN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal NUCC Code: 363LN0000X (Nurse Practitioner, Neonatal) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473 |
| Practice Telephone / Fax | Tel: (802) 847-0000 |
| Administrative Mailing Address | 650 LANSDOWNE WAY APT 107, NORWOOD, MA, 02062-2918 |
| Enumeration & Last Sync | Enumerated: 2019-10-07 | CMS Record Updated: 2019-10-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LN0000X)
What Does Taxonomy Code 363LN0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LN0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRITTNEY ALYSSA ACCAVALLO, 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
- 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 |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: VT | License: 026.0088443 | Primary: Secondary |
363LN0000X — Nurse Practitioner, NeonatalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal | State: VT | License: 101-0134408 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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