CMS-1500 Box 24J / 33a • NPI
1366678476
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
865 NORTHERN BOULEVARD, GREAT NECK, NY, 11021
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366678476 (ANDREA SANNETTE ADAMS, Adult Nurse Practiti) 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 #1366678476)
Medicare Beneficiaries
19
Total Billed Services
21
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$2,227.34
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Gabapentin Gabapentin | 87 | 51 |
| Methylprednisolone Methylprednisolone | 16 | 14 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 16 | 13 |
| Pregabalin Pregabalin | 34 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366678476 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANDREA SANNETTE ADAMS, Adult Nurse Practiti |
| 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 | 865 NORTHERN BOULEVARD, GREAT NECK, NY, 11021 |
| Practice Telephone / Fax | Tel: (516) 570-4400 | Fax: (516) 570-4444 |
| Administrative Mailing Address | 865 NORTHERN BOULEVARD, GREAT NECK, NY, 11021 |
| Enumeration & Last Sync | Enumerated: 2009-06-03 | CMS Record Updated: 2009-06-03 |
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 (ANDREA SANNETTE ADAMS, Adult Nurse Practiti)
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: NY | License: F303515-1 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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