CMS-1500 Box 24J / 33a • NPI
1467045278
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
20 COMMONS CORNER WAY, WAKEFIELD, RI, 02879-2574
✓ 9-Digit EDI 837 ZIP+4 (02879-2574)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1467045278 (KIMBERLY ABBATICOLA, MSN, APRN, PMHNP-BC) 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 #1467045278)
Medicare Beneficiaries
414
Total Billed Services
1,272
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$130,373.31
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 25 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 194 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 19 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 964 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 64 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1467045278 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIMBERLY ABBATICOLA, MSN, APRN, PMHNP-BC |
| 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 | 20 COMMONS CORNER WAY, WAKEFIELD, RI, 02879-2574 |
| Practice Telephone / Fax | Tel: (401) 294-6170 | Fax: (401) 295-5255 |
| Administrative Mailing Address | 455 TOLL GATE ROAD, WARWICK, RI, 02886-2759 |
| Enumeration & Last Sync | Enumerated: 2021-02-12 | CMS Record Updated: 2026-04-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in WAKEFIELD
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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 (KIMBERLY ABBATICOLA, MSN, APRN, PMHNP-BC)
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 |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: RI | License: APRN03094 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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