ROSE MARIE NYAKAKO, AGPCNP-BC, RN — NPI 1467877621 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care in WORCESTER, MA)

CMS-1500 Box 24J / 33a • NPI

1467877621

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP2300X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care

Box 32 Service Location & ZIP+4

19 TACOMA ST, WORCESTER, MA, 01605-3516

✓ 9-Digit EDI 837 ZIP+4 (01605-3516)

Practice Phone & Referral Fax

(508) 852-1805

Fax: (508) 854-3248

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467877621 (ROSE MARIE NYAKAKO, AGPCNP-BC, 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

Medicare Part B

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

✓ Eligible

Hospice Referring

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1467877621)

Medicare Beneficiaries

176

Total Billed Services

456

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$37,470.94

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	15
`99306`	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	20
`99307`	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44
`99308`	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	134
`99309`	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	166
`99310`	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic Medication	Total Claims	Patients
Amlodipine Besylate Amlodipine Besylate	11	<11
Buspirone Hcl Buspirone Hcl	18	<11
Furosemide Furosemide	11	<11
Gabapentin Gabapentin	21	<11
Jardiance Empagliflozin	52	<11
Levetiracetam Levetiracetam	11	<11
Levothyroxine Sodium Levothyroxine Sodium	31	<11
Mirtazapine Mirtazapine	12	<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467877621` (NPI-1 Individual Practitioner)
Provider / Legal Name	ROSE MARIE NYAKAKO, AGPCNP-BC, RN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: `363LP2300X` (Nurse Practitioner, Primary Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	19 TACOMA ST, WORCESTER, MA, 01605-3516
Practice Telephone / Fax	Tel: (508) 852-1805 \| Fax: (508) 854-3248
Administrative Mailing Address	133 HOUGHTON RD, PRINCETON, MA, 01541-1225
Enumeration & Last Sync	Enumerated: 2014-02-25 \| CMS Record Updated: 2018-05-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19 TACOMA ST, WORCESTER, MA, 01605-3516

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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)

What Does Taxonomy Code 363LP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"

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, Primary Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ROSE MARIE NYAKAKO, AGPCNP-BC, 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

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
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: MA \| License: `265667` \| Primary: Secondary
`363LG0600X` — Nurse Practitioner, Gerontology Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology	State: MA \| License: `265667` \| Primary: Secondary
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: MA \| License: `265667` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ROSE MARIE NYAKAKO, AGPCNP-BC, RN (NPI #1467877621)