CMS-1500 Box 24J / 33a • NPI
1487378642
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
850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX, 76548-1890
✓ 9-Digit EDI 837 ZIP+4 (76548-1890)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487378642 (MA THERESA ACEBO, AGNP-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 #1487378642)
Medicare Beneficiaries
28
Total Billed Services
180
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$35,892.60
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11042 | Removal of skin and tissue, 20.0 sq cm or less | 36 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Doxycycline Hyclate Doxycycline Hyclate | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487378642 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MA THERESA ACEBO, AGNP-BC |
| 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 | 850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX, 76548-1890 |
| Practice Telephone / Fax | Tel: (254) 618-4975 |
| Administrative Mailing Address | 8012 BASSANO DR, ROUND ROCK, TX, 78665-2129 |
| Enumeration & Last Sync | Enumerated: 2022-10-03 | CMS Record Updated: 2025-06-23 |
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 (MA THERESA ACEBO, AGNP-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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: TX | License: 1094712 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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