CMS-1500 Box 24J / 33a • NPI
1376084780
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
783 WEBER RD, FARMINGTON, MO, 63640-3318
✓ 9-Digit EDI 837 ZIP+4 (63640-3318)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376084780 (PORTIA PRICE, PMHNP-BC, 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
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 #1376084780)
Medicare Beneficiaries
239
Total Billed Services
738
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$61,026.62
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90792 | Psychiatric diagnostic evaluation with medical services | 93 |
90792 | Psychiatric diagnostic evaluation with medical services | 98 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 260 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 126 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 15 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 12 |
99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 18 |
99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 22 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Aripiprazole Aripiprazole | 12 | <11 |
| Bupropion Xl Bupropion Hcl | 15 | <11 |
| Buspirone Hcl Buspirone Hcl | 68 | 20 |
| Citalopram Hbr Citalopram Hydrobromide | 28 | <11 |
| Clonazepam Clonazepam | 20 | <11 |
| Divalproex Sodium Divalproex Sodium | 54 | 14 |
| Donepezil Hcl Odt Donepezil Hcl | 15 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 16 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376084780 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PORTIA PRICE, PMHNP-BC, FNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 783 WEBER RD, FARMINGTON, MO, 63640-3318 |
| Practice Telephone / Fax | Tel: (573) 756-1574 | Fax: (573) 756-1577 |
| Administrative Mailing Address | 2215 BROADWAY ST, CAPE GIRARDEAU, MO, 63701-4403 |
| Enumeration & Last Sync | Enumerated: 2017-03-17 | CMS Record Updated: 2024-02-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PORTIA PRICE, PMHNP-BC, 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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MO | License: 2017006973 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: MO | License: 2023008467 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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