CMS-1500 Box 24J / 33a • NPI
1477311710
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
600 N FANT ST, ANDERSON, SC, 29621-5704
✓ 9-Digit EDI 837 ZIP+4 (29621-5704)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477311710 (TERESA ANTLEY, MSN, APRN FNP-C) 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 #1477311710)
Medicare Beneficiaries
264
Total Billed Services
634
Distinct CPT/HCPCS Codes
43
Medicare Allowed Total
$25,861.32
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 49 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 22 |
87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 14 |
96372 | Injection of drug or substance under skin or into muscle | 23 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 153 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 59 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 16 | 16 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 38 | 36 |
| Azithromycin Azithromycin | 16 | 15 |
| Cephalexin Cephalexin | 35 | 35 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 15 | 15 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 31 | 30 |
| Fluconazole Fluconazole | 14 | 14 |
| Levofloxacin Levofloxacin | 11 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477311710 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TERESA ANTLEY, MSN, APRN FNP-C |
| 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 | 600 N FANT ST, ANDERSON, SC, 29621-5704 |
| Practice Telephone / Fax | Tel: (864) 512-2000 |
| Administrative Mailing Address | 116 ARBOR ST, DENMARK, SC, 29042-1357 |
| Enumeration & Last Sync | Enumerated: 2024-03-11 | CMS Record Updated: 2024-09-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TERESA ANTLEY, MSN, APRN FNP-C)
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 |
|---|---|
163WE0003X — Registered Nurse, EmergencyPlain English: Licensed & Credentialed Registered Nurse, Emergency | State: SC | License: 216967 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: SC | License: 28544 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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