CMS-1500 Box 24J / 33a • NPI
1508464686
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1322 KLABZUBA AVE, PRAGUE, OK, 74864-4900
✓ 9-Digit EDI 837 ZIP+4 (74864-4900)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1508464686 (ELIZABETH OAKLEY HAAK, PA-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 #1508464686)
Medicare Beneficiaries
374
Total Billed Services
899
Distinct CPT/HCPCS Codes
37
Medicare Allowed Total
$42,158.37
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
71046 | X-ray of chest, 2 views | 11 |
81003 | Automated urinalysis test | 74 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 75 |
87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 113 |
87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 36 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 131 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 25 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 12 | 12 |
| Amoxicillin Amoxicillin | 12 | 12 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 59 | 57 |
| Azithromycin Azithromycin | 24 | 24 |
| Cephalexin Cephalexin | 24 | 22 |
| Doxycycline Hyclate Doxycycline Hyclate | 12 | 11 |
| Fluticasone Propionate Fluticasone Propionate | 23 | 20 |
| Ipratropium Bromide Ipratropium Bromide | 13 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1508464686 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ELIZABETH OAKLEY HAAK, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1322 KLABZUBA AVE, PRAGUE, OK, 74864-4900 |
| Practice Telephone / Fax | Tel: (405) 567-4922 |
| Administrative Mailing Address | 1322 KLABZUBA AVE, PRAGUE, OK, 74864-4900 |
| Enumeration & Last Sync | Enumerated: 2020-10-12 | CMS Record Updated: 2020-10-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ELIZABETH OAKLEY HAAK, PA-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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: OK | License: 3213 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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