CMS-1500 Box 24J / 33a • NPI
1245657824
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
18780 INTERSTATE 20, CANTON, TX, 75103-3593
✓ 9-Digit EDI 837 ZIP+4 (75103-3593)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245657824 (ANGELA BURRUS) 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 #1245657824)
Medicare Beneficiaries
220
Total Billed Services
616
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$4,386.31
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81001 | Manual urinalysis test with examination using microscope, automated | 103 |
81003 | Automated urinalysis test | 142 |
85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 328 |
87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 14 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 15 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 76 | 20 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 165 | 49 |
| Alendronate Sodium Alendronate Sodium | 67 | 25 |
| Allopurinol Allopurinol | 95 | 26 |
| Alprazolam Alprazolam | 118 | 18 |
| Amitriptyline Hcl Amitriptyline Hcl | 38 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 357 | 106 |
| Amoxicillin Amoxicillin | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245657824 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANGELA BURRUS |
| 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 | 18780 INTERSTATE 20, CANTON, TX, 75103-3593 |
| Practice Telephone / Fax | Tel: (903) 567-4841 |
| Administrative Mailing Address | PO BOX 846098, DALLAS, TX, 75284-6098 |
| Enumeration & Last Sync | Enumerated: 2014-03-21 | CMS Record Updated: 2019-05-20 |
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 (ANGELA BURRUS)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: TX | License: 577526 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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