CMS-1500 Box 24J / 33a • NPI
1205599313
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163W00000X
Licensed & Credentialed Registered Nurse
Box 32 Service Location & ZIP+4
4200 PARK AVE, BRIDGEPORT, CT, 06604-1049
✓ 9-Digit EDI 837 ZIP+4 (06604-1049)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205599313 (MICHELLE BOCCANFUSO, RN) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205599313 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHELLE BOCCANFUSO, RN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse NUCC Code: 163W00000X (Registered Nurse) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4200 PARK AVE, BRIDGEPORT, CT, 06604-1049 |
| Practice Telephone / Fax | Tel: (203) 365-6400 |
| Administrative Mailing Address | 6 BIRCHWOOD LN, MONROE, CT, 06468-1025 |
| Enumeration & Last Sync | Enumerated: 2021-10-15 | CMS Record Updated: 2021-10-15 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163W00000X)
What Does Taxonomy Code 163W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHELLE BOCCANFUSO, RN)
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: CT | License: 150990 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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