CMS-1500 Box 24J / 33a • NPI
1194368647
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
204 W MAIN ST, FREMONT, MI, 49412-1181
✓ 9-Digit EDI 837 ZIP+4 (49412-1181)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194368647 (AMY JO ARENDS, NP-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 #1194368647)
Medicare Beneficiaries
27
Total Billed Services
34
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$2,928.59
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alendronate Sodium Alendronate Sodium | 11 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 14 | 14 |
| Baclofen Baclofen | 211 | 53 |
| Dantrolene Sodium Dantrolene Sodium | 25 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 25 | <11 |
| Gabapentin Gabapentin | 116 | 34 |
| Modafinil Modafinil | 14 | <11 |
| Oxybutynin Chloride Oxybutynin Chloride | 32 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194368647 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMY JO ARENDS, NP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 204 W MAIN ST, FREMONT, MI, 49412-1181 |
| Practice Telephone / Fax | Tel: (231) 924-1800 |
| Administrative Mailing Address | 100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503-2560 |
| Enumeration & Last Sync | Enumerated: 2019-10-28 | CMS Record Updated: 2026-01-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMY JO ARENDS, NP-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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MI | License: 4704213321 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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