CMS-1500 Box 24J / 33a • NPI
1366026965
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
501 MORRIS ST, CHARLESTON, WV, 25301-1326
✓ 9-Digit EDI 837 ZIP+4 (25301-1326)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366026965 (KAYLA ROXANNE ADAMS, NP) 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 #1366026965)
Medicare Beneficiaries
473
Total Billed Services
1,084
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$72,531.96
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 624 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 431 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 31 | 17 |
| Amlodipine Besylate Amlodipine Besylate | 132 | 63 |
| Atorvastatin Calcium Atorvastatin Calcium | 115 | 52 |
| Carvedilol Carvedilol | 36 | 17 |
| Chlorthalidone Chlorthalidone | 15 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 61 | 27 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 26 | 13 |
| Diltiazem Hcl Diltiazem Hcl | 20 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366026965 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KAYLA ROXANNE ADAMS, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 501 MORRIS ST, CHARLESTON, WV, 25301-1326 |
| Practice Telephone / Fax | Tel: (304) 388-6004 | Fax: (304) 388-3360 |
| Administrative Mailing Address | 501 MORRIS ST, CHARLESTON, WV, 25301-1326 |
| Enumeration & Last Sync | Enumerated: 2021-05-10 | CMS Record Updated: 2022-04-04 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KAYLA ROXANNE ADAMS, NP)
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 |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: WV | License: 109028 | Primary: Secondary |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: OH | License: 407847 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: OH | License: 0028668 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: WV | License: 109028 | Primary: Yes (Primary) |
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