CMS-1500 Box 24J / 33a • NPI
1316295215
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2083X0100X (CMS 84)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine
Box 32 Service Location & ZIP+4
601 25TH AVE S, 601 25TH AVE SO., MINNEAPOLIS, MN, 55454-1454
✓ 9-Digit EDI 837 ZIP+4 (55454-1454)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1316295215 (CHERYL ANN LUCIUS, COTA) 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 | 1316295215 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHERYL ANN LUCIUS, COTA |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine NUCC Code: 2083X0100X (Preventive Medicine, Occupational Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 601 25TH AVE S, 601 25TH AVE SO., MINNEAPOLIS, MN, 55454-1454 |
| Practice Telephone / Fax | Tel: (651) 690-7772 |
| Administrative Mailing Address | 2094 WILLOW CIR, CENTERVILLE, MN, 55038-8774 |
| Enumeration & Last Sync | Enumerated: 2012-08-27 | CMS Record Updated: 2012-08-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2083X0100X)
What Does Taxonomy Code 2083X0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083X0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHERYL ANN LUCIUS, COTA)
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 |
|---|---|
2083X0100X — Preventive Medicine, Occupational MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine | State: MN | License: 201143 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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