CMS-1500 Box 24J / 33a • NPI
1447447008
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SG0600X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology
Box 32 Service Location & ZIP+4
110 COMMERCE DR, SHELTON, CT, 06484-6244
✓ 9-Digit EDI 837 ZIP+4 (06484-6244)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1447447008 (SUSAN WALSH ADE, APRN, RN) 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 | 1447447008 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SUSAN WALSH ADE, APRN, RN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology NUCC Code: 364SG0600X (Clinical Nurse Specialist, Gerontology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 110 COMMERCE DR, SHELTON, CT, 06484-6244 |
| Practice Telephone / Fax | Tel: (203) 929-7331 | Fax: (203) 925-0330 |
| Administrative Mailing Address | 67 MAPLE AVE, DERBY, CT, 06418-1328 |
| Enumeration & Last Sync | Enumerated: 2007-09-27 | CMS Record Updated: 2021-02-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (364SG0600X)
What Does Taxonomy Code 364SG0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUSAN WALSH ADE, APRN, RN)
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 |
|---|---|
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: CT | License: 001755 | Primary: Secondary |
364SG0600X — Clinical Nurse Specialist, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology | State: CT | License: 001755 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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