CMS-1500 Box 24J / 33a • NPI
1376041426
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
1000 HEALTH CENTER ROAD, KYLE, SD, 57752
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376041426 (SUSAN J WALDEN, FNP-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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376041426 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SUSAN J WALDEN, FNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1000 HEALTH CENTER ROAD, KYLE, SD, 57752 |
| Practice Telephone / Fax | Tel: (605) 455-2451 |
| Administrative Mailing Address | 27 WAPIYAPI AVE, KYLE, SD, 57752-3115 |
| Enumeration & Last Sync | Enumerated: 2018-01-24 | CMS Record Updated: 2024-02-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUSAN J WALDEN, FNP-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: GA | License: RN256011 | Primary: Yes (Primary) |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: GA | License: RN256011 | Primary: Secondary |
163WC0400X — Registered Nurse, Case ManagementPlain English: Licensed & Credentialed Registered Nurse, Case Management | State: GA | License: RN256011 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: SD | License: CP002059 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: GA | License: RN256001 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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