ROXANNE DONNA-SHEA BOGALIS — NPI 1285108548 (Licensed & Credentialed Licensed Practical Nurse in WIMAUMA, FL)

CMS-1500 Box 24J / 33a • NPI

1285108548

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

14530 CALLEN GLEN WAY, WIMAUMA, FL, 33598-6180

✓ 9-Digit EDI 837 ZIP+4 (33598-6180)

Practice Phone & Referral Fax

(941) 769-1650

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285108548 (ROXANNE DONNA-SHEA BOGALIS) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285108548` (NPI-1 Individual Practitioner)
Provider / Legal Name	ROXANNE DONNA-SHEA BOGALIS
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	14530 CALLEN GLEN WAY, WIMAUMA, FL, 33598-6180
Practice Telephone / Fax	Tel: (941) 769-1650
Administrative Mailing Address	14530 CALLEN GLEN WAY, WIMAUMA, FL, 33598-6180
Enumeration & Last Sync	Enumerated: 2019-01-18 \| CMS Record Updated: 2023-09-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

14530 CALLEN GLEN WAY, WIMAUMA, FL, 33598-6180

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Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ROXANNE DONNA-SHEA BOGALIS)

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

Common Therapeutic Classes:

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
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: N/A \| License: `Verified` \| Primary: Secondary
`174H00000X` — Health Educator Plain English: Certified Health Education Specialist (CHES / Preventive Patient Education)	State: N/A \| License: `Verified` \| Primary: Secondary
`174N00000X` — Lactation Consultant, Non-RN Plain English: Licensed & Credentialed Lactation Consultant, Non-RN	State: N/A \| License: `Verified` \| Primary: Secondary
`374J00000X` — Doula Plain English: Licensed & Credentialed Doula	State: N/A \| License: `Verified` \| Primary: Secondary
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: FL \| License: `P5251927` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ROXANNE DONNA-SHEA BOGALIS (NPI #1285108548)