CMS-1500 Box 24J / 33a • NPI
1164182937
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
3265 MILITARY RD, RINGGOLD, LA, 71068-2809
✓ 9-Digit EDI 837 ZIP+4 (71068-2809)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164182937 (AMBER E CANTRELL PEARSON) 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 #1164182937)
Medicare Beneficiaries
31
Total Billed Services
122
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$1,058.31
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 22 |
82947 | Blood glucose (sugar) level | 44 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 32 | 13 |
| Allopurinol Allopurinol | 11 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 22 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 48 | 20 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 61 | 26 |
| Azithromycin Azithromycin | 14 | 14 |
| Buspirone Hcl Buspirone Hcl | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164182937 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMBER E CANTRELL PEARSON |
| 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 | 3265 MILITARY RD, RINGGOLD, LA, 71068-2809 |
| Practice Telephone / Fax | Tel: (318) 894-0220 |
| Administrative Mailing Address | 128 SHORELINE DR, AZLE, TX, 76020-4034 |
| Enumeration & Last Sync | Enumerated: 2021-12-21 | CMS Record Updated: 2025-09-19 |
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 (AMBER E CANTRELL PEARSON)
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: TX | License: 853137 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: LA | License: 227544 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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