CMS-1500 Box 24J / 33a • NPI
1487821773
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
899 NEWTON AVE, NORTH BALDWIN, NY, 11510-2826
✓ 9-Digit EDI 837 ZIP+4 (11510-2826)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487821773 (SHIRLEY AMISSAH, FNP) 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 #1487821773)
Medicare Beneficiaries
61
Total Billed Services
61
Distinct CPT/HCPCS Codes
2
Medicare Allowed Total
$8,066.84
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 59 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 30 | 12 |
| Alcohol Prep Pads Alcohol Antiseptic Pads | 17 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 122 | 61 |
| Atorvastatin Calcium Atorvastatin Calcium | 96 | 54 |
| Chlorthalidone Chlorthalidone | 20 | <11 |
| Clotrimazole Clotrimazole | 13 | <11 |
| Diclofenac Sodium Diclofenac Sodium | 15 | <11 |
| Enalapril Maleate Enalapril Maleate | 50 | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487821773 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHIRLEY AMISSAH, FNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 899 NEWTON AVE, NORTH BALDWIN, NY, 11510-2826 |
| Practice Telephone / Fax | Tel: (917) 676-2146 |
| Administrative Mailing Address | 899 NEWTON AVE, NORTH BALDWIN, NY, 11510-2826 |
| Enumeration & Last Sync | Enumerated: 2008-05-15 | CMS Record Updated: 2015-04-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHIRLEY AMISSAH, FNP)
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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: NY | License: 337020 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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