DEANNA AUBRY, APNP — NPI 1457086076 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1457086076

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

1125 SOUTH BLVD, OAK PARK, IL, 60302-2812

✓ 9-Digit EDI 837 ZIP+4 (60302-2812)

Practice Phone & Referral Fax

(888) 938-3838

Fax: (888) 919-1083

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457086076 (DEANNA AUBRY, APNP) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457086076` (NPI-1 Individual Practitioner)
Provider / Legal Name	DEANNA AUBRY, APNP
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	1125 SOUTH BLVD, OAK PARK, IL, 60302-2812
Practice Telephone / Fax	Tel: (888) 938-3838 \| Fax: (888) 919-1083
Administrative Mailing Address	10001 W INNOVATION DR STE 200, MILWAUKEE, WI, 53226-4851
Enumeration & Last Sync	Enumerated: 2022-07-18 \| CMS Record Updated: 2022-10-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1125 SOUTH BLVD, OAK PARK, IL, 60302-2812

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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"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DEANNA AUBRY, APNP)

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

Common Therapeutic Classes:

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
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: IL \| License: `209.025328` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: IL \| License: `209025328` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DEANNA AUBRY, APNP (NPI #1457086076)