CMS-1500 Box 24J / 33a • NPI
1265982235
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2200X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health
Box 32 Service Location & ZIP+4
6465 MILLENNIUM STE 100, LANSING, MI, 48917-7831
✓ 9-Digit EDI 837 ZIP+4 (48917-7831)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265982235 (ANCY ABRAHAM, 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1265982235)
Medicare Beneficiaries
225
Total Billed Services
1,436
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$93,153.63
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 360 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 425 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 236 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 110 |
99315 | Nursing facility discharge day management, 30 minutes or less | 51 |
99315 | Nursing facility discharge day management, 30 minutes or less | 24 |
99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 66 |
99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 34 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265982235 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANCY ABRAHAM, NP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: 363LA2200X (Nurse Practitioner, Adult Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6465 MILLENNIUM STE 100, LANSING, MI, 48917-7831 |
| Practice Telephone / Fax | Tel: (517) 975-3720 | Fax: (517) 323-7633 |
| Administrative Mailing Address | 6894 MULBERRY LN, GRAND LEDGE, MI, 48837-8737 |
| Enumeration & Last Sync | Enumerated: 2016-10-13 | CMS Record Updated: 2025-06-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)
What Does Taxonomy Code 363LA2200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANCY ABRAHAM, 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 |
|---|---|
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: MI | License: 4704262368 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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