CMS-1500 Box 24J / 33a • NPI
1144525619
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
272 NO MAIN ST, CAMBRIDGE, VT, 05444-0102
✓ 9-Digit EDI 837 ZIP+4 (05444-0102)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1144525619 (SUSAN LUCILLE JAYNES, NP) 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 #1144525619)
Medicare Beneficiaries
142
Total Billed Services
515
Distinct CPT/HCPCS Codes
29
Medicare Allowed Total
$40,212.87
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
83036 | Hemoglobin a1c level | 24 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 137 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 216 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 14 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 26 | 18 |
| Alprazolam Alprazolam | 11 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 35 | 12 |
| Atorvastatin Calcium Atorvastatin Calcium | 77 | 28 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 14 | 11 |
| Eliquis Apixaban | 16 | <11 |
| Escitalopram Oxalate Escitalopram Oxalate | 13 | <11 |
| Famotidine Famotidine | 25 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1144525619 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SUSAN LUCILLE JAYNES, NP |
| 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 | 272 NO MAIN ST, CAMBRIDGE, VT, 05444-0102 |
| Practice Telephone / Fax | Tel: (802) 644-5114 | Fax: (802) 644-5573 |
| Administrative Mailing Address | PO BOX 102, CAMBRIDGE, VT, 05444-0102 |
| Enumeration & Last Sync | Enumerated: 2011-01-14 | CMS Record Updated: 2011-01-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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 (SUSAN LUCILLE JAYNES, NP)
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: VT | License: 101 0074099 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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