CMS-1500 Box 24J / 33a • NPI
1114559804
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1329 SANDY RIVER RD, AXTON, VA, 24054-2761
✓ 9-Digit EDI 837 ZIP+4 (24054-2761)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114559804 (EMILY BROOKE WARRICK) 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 #1114559804)
Medicare Beneficiaries
140
Total Billed Services
1,203
Distinct CPT/HCPCS Codes
61
Medicare Allowed Total
$29,608.40
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 126 |
71046 | X-ray of chest, 2 views | 18 |
81003 | Automated urinalysis test | 32 |
83036 | Hemoglobin a1c level | 16 |
87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 12 |
87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 19 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 22 |
96372 | Injection of drug or substance under skin or into muscle | 21 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 83 | 21 |
| Alendronate Sodium Alendronate Sodium | 22 | <11 |
| Alprazolam Alprazolam | 12 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 85 | 27 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 32 | 31 |
| Atorvastatin Calcium Atorvastatin Calcium | 103 | 34 |
| Azithromycin Azithromycin | 22 | 20 |
| Baclofen Baclofen | 47 | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114559804 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EMILY BROOKE WARRICK |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1329 SANDY RIVER RD, AXTON, VA, 24054-2761 |
| Practice Telephone / Fax | Tel: (276) 340-7027 |
| Administrative Mailing Address | 2696 GREENSBORO RD, MARTINSVILLE, VA, 24112-8106 |
| Enumeration & Last Sync | Enumerated: 2020-02-10 | CMS Record Updated: 2021-03-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EMILY BROOKE WARRICK)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: VA | License: 0110-007720 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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