CMS-1500 Box 24J / 33a • NPI
1245457977
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
1924 SUPERIOR ST, WEBSTER CITY, IA, 50595-3146
✓ 9-Digit EDI 837 ZIP+4 (50595-3146)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245457977 (TRISHA ANN BARTLETT, PA-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 #1245457977)
Medicare Beneficiaries
693
Total Billed Services
3,422
Distinct CPT/HCPCS Codes
53
Medicare Allowed Total
$164,061.11
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11102 | Biopsy of related skin growth, first growth | 274 |
11103 | Biopsy of related skin growth, each additional growth | 106 |
17000 | Destruction of precancer skin growth, 1 growth | 404 |
17003 | Destruction of precancer skin growth, 2-14 growths | 1,297 |
17004 | Destruction of precancer skin growth, 15 or more growths | 25 |
17110 | Destruction of skin growth, 1-14 growths | 147 |
17262 | Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 14 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 34 | 19 |
| Cephalexin Cephalexin | 15 | 15 |
| Clobetasol Propionate Clobetasol Propionate | 16 | 14 |
| Dupixent Pen Dupilumab | 12 | <11 |
| Fluorouracil Fluorouracil | 21 | 20 |
| Ketoconazole Ketoconazole | 113 | 59 |
| Metronidazole Metronidazole | 11 | <11 |
| Minocycline Hcl Minocycline Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245457977 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TRISHA ANN BARTLETT, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1924 SUPERIOR ST, WEBSTER CITY, IA, 50595-3146 |
| Practice Telephone / Fax | Tel: (515) 832-3332 |
| Administrative Mailing Address | 1316 S MAIN ST, CLARION, IA, 50525-2019 |
| Enumeration & Last Sync | Enumerated: 2007-04-20 | CMS Record Updated: 2026-06-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TRISHA ANN BARTLETT, PA-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 |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: IA | License: 001806 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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