CMS-1500 Box 24J / 33a • NPI
1093546756
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
5505 CURRITUCK DR STE 200, WILMINGTON, NC, 28403-1155
✓ 9-Digit EDI 837 ZIP+4 (28403-1155)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093546756 (SHELBY LAYNE BLACKWELL, FNP-C) 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 #1093546756)
Medicare Beneficiaries
69
Total Billed Services
376
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$30,379.18
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 45 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 52 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 69 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 153 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 15 |
99316 | Nursing facility discharge management, more than 30 minutes | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Oxycodone Hcl Oxycodone Hcl | 27 | 11 |
| Tramadol Hcl Tramadol Hcl | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093546756 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHELBY LAYNE BLACKWELL, FNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5505 CURRITUCK DR STE 200, WILMINGTON, NC, 28403-1155 |
| Practice Telephone / Fax | Tel: (910) 662-7720 | Fax: (910) 777-5961 |
| Administrative Mailing Address | 1570 RAPTOR TERRACE NE, BOLIVIA, NC, 28422 |
| Enumeration & Last Sync | Enumerated: 2024-08-13 | CMS Record Updated: 2026-05-22 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHELBY LAYNE BLACKWELL, FNP-C)
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: NC | License: 5020883 | Primary: Yes (Primary) |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: TX | License: 1155658 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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