CMS-1500 Box 24J / 33a • NPI
1194445452
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LG0600X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology
Box 32 Service Location & ZIP+4
212 S SULLIVAN AVE, FREMONT, MI, 49412-1548
✓ 9-Digit EDI 837 ZIP+4 (49412-1548)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194445452 (SARAH AMES, 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 #1194445452)
Medicare Beneficiaries
123
Total Billed Services
488
Distinct CPT/HCPCS Codes
38
Medicare Allowed Total
$28,063.83
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 19 |
96127 | Assessment of emotional or behavioral problems | 37 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 102 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 84 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 |
G0444 | Annual depression screening, 5 to 15 minutes | 11 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 58 | 21 |
| Alendronate Sodium Alendronate Sodium | 14 | <11 |
| Allopurinol Allopurinol | 13 | <11 |
| Alprazolam Alprazolam | 38 | 12 |
| Amlodipine Besylate Amlodipine Besylate | 58 | 21 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 41 | 38 |
| Aripiprazole Aripiprazole | 18 | <11 |
| Atenolol Atenolol | 21 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194445452 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SARAH AMES, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology NUCC Code: 363LG0600X (Nurse Practitioner, Gerontology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 212 S SULLIVAN AVE, FREMONT, MI, 49412-1548 |
| Practice Telephone / Fax | Tel: (616) 391-3139 |
| Administrative Mailing Address | 100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503-2560 |
| Enumeration & Last Sync | Enumerated: 2022-08-29 | CMS Record Updated: 2025-09-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LG0600X)
What Does Taxonomy Code 363LG0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SARAH AMES, 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 |
|---|---|
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: MI | License: 4704267421 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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