CMS-1500 Box 24J / 33a • NPI
1396230876
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
525 WESTERN AVE STE 304, CONWAY, AR, 72034-4981
✓ 9-Digit EDI 837 ZIP+4 (72034-4981)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396230876 (AMY D BROYLES, APRN) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1396230876)
Medicare Beneficiaries
433
Total Billed Services
656
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$39,573.80
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
30901 | Simple control of nose bleed | 16 |
69210 | Removal of impacted ear wax | 248 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 73 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 12 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 258 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396230876 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMY D BROYLES, APRN |
| 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 | 525 WESTERN AVE STE 304, CONWAY, AR, 72034-4981 |
| Practice Telephone / Fax | Tel: (501) 358-6560 |
| Administrative Mailing Address | 1 SWEETBRIAR LN, GREENBRIER, AR, 72058-9352 |
| Enumeration & Last Sync | Enumerated: 2018-06-26 | CMS Record Updated: 2018-06-26 |
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 (AMY D BROYLES, APRN)
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: AR | License: A005490 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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