CMS-1500 Box 24J / 33a • NPI
1477399004
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WP2201X
Licensed & Credentialed Registered Nurse, Ambulatory Care
Box 32 Service Location & ZIP+4
111 E JACKSON ST, BURNET, TX, 78611-3101
✓ 9-Digit EDI 837 ZIP+4 (78611-3101)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477399004 (BUFFY ALLEN, MSN, RN, LMT, CLT) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477399004 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BUFFY ALLEN, MSN, RN, LMT, CLT |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Ambulatory Care NUCC Code: 163WP2201X (Registered Nurse, Ambulatory Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 111 E JACKSON ST, BURNET, TX, 78611-3101 |
| Practice Telephone / Fax | Tel: (512) 694-9481 |
| Administrative Mailing Address | 2930 RANCH ROAD 261, BUCHANAN DAM, TX, 78609-4250 |
| Enumeration & Last Sync | Enumerated: 2024-07-03 | CMS Record Updated: 2024-07-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WP2201X)
What Does Taxonomy Code 163WP2201X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP2201X translates to:
"Licensed & Credentialed Registered Nurse, Ambulatory Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BUFFY ALLEN, MSN, RN, LMT, CLT)
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 |
|---|---|
225700000X — Massage TherapistPlain English: Licensed & Credentialed Massage Therapist | State: TX | License: 138179 | Primary: Secondary |
163WP2201X — Registered Nurse, Ambulatory CarePlain English: Licensed & Credentialed Registered Nurse, Ambulatory Care | State: TX | License: 653842 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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