JEAN NORALYN AGREGADO, Registered Nurse — NPI 1477270668 (Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent in HEMET, CA)

CMS-1500 Box 24J / 33a • NPI

1477270668

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP0807X

Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent

Box 32 Service Location & ZIP+4

930 N STATE ST, HEMET, CA, 92543-1473

✓ 9-Digit EDI 837 ZIP+4 (92543-1473)

Practice Phone & Referral Fax

(951) 765-6955

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477270668 (JEAN NORALYN AGREGADO, Registered Nurse) 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	`1477270668` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEAN NORALYN AGREGADO, Registered Nurse
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent NUCC Code: `163WP0807X` (Registered Nurse, Psych/Mental Health, Child & Adolescent)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	930 N STATE ST, HEMET, CA, 92543-1473
Practice Telephone / Fax	Tel: (951) 765-6955
Administrative Mailing Address	PO BOX 727, HEMET, CA, 92546-0727
Enumeration & Last Sync	Enumerated: 2022-10-27 \| CMS Record Updated: 2022-10-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

930 N STATE ST, HEMET, CA, 92543-1473

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Plain-English Taxonomy & CMS Crosswalk (163WP0807X)

What Does Taxonomy Code 163WP0807X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0807X translates to:
"Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Psych/Mental Health, Child & Adolescent for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEAN NORALYN AGREGADO, Registered Nurse)

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
`163WP0807X` — Registered Nurse, Psych/Mental Health, Child & Adolescent Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent	State: CA \| License: `95047138` \| Primary: Yes (Primary)

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JEAN NORALYN AGREGADO, Registered Nurse (NPI #1477270668)