CMS-1500 Box 24J / 33a • NPI
1346658564
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
206 COMMERCE AVE, SOUTHERN PINES, NC, 28387-7059
✓ 9-Digit EDI 837 ZIP+4 (28387-7059)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346658564 (LIZA ANNA ANTON-VALDEZ, DNP, MSN,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
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 #1346658564)
Medicare Beneficiaries
233
Total Billed Services
1,396
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$119,795.80
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 48 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 39 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 43 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 133 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 518 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 371 |
99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 27 |
99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 145 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346658564 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LIZA ANNA ANTON-VALDEZ, DNP, MSN,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 | 206 COMMERCE AVE, SOUTHERN PINES, NC, 28387-7059 |
| Practice Telephone / Fax | Tel: (201) 383-1949 |
| Administrative Mailing Address | 10 LAKE HILLS RD, PINEHURST, NC, 28374-9639 |
| Enumeration & Last Sync | Enumerated: 2014-07-31 | CMS Record Updated: 2023-09-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in SOUTHERN PINES
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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 (LIZA ANNA ANTON-VALDEZ, DNP, MSN,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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: NC | License: 5012110 | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: NJ | License: 26NJ00511600 | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: NC | License: 5012110 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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