βœ“ Licensed & Credentialed Nurse Practitioner (363L00000X)

DIEDRA M AHLERT, CPNP-PC (NPI #1508475294)

Nurse Practitioner • ALTON, IL • Status: Active Federal Registration

Plain-English Taxonomy Translation (363L00000X)

What Does Taxonomy Code 363L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates in plain language to:
"Licensed & Credentialed Nurse Practitioner"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Nurse Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with DIEDRA M AHLERT, CPNP-PC:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic & Prescribing Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1508475294 (NPI-1 Individual Practitioner)
Provider / Legal NameDIEDRA M AHLERT, CPNP-PC
Plain-English SpecialtyLicensed & Credentialed Nurse Practitioner
NUCC Code: 363L00000X (Nurse Practitioner)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address4 MEMORIAL DR STE 110, ALTON, IL, 620026704
Practice Telephone / FaxTel: 618-433-6570 | Fax: 618-433-6571
Administrative Mailing AddressPO BOX 959203, SAINT LOUIS, MO, 631959203
Enumeration & Last SyncEnumerated: 2020-07-28 | Updated: 2026-11-02

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

4 MEMORIAL DR STE 110, ALTON, IL, 620026704

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363L00000X β€” Nurse Practitioner
Plain English: Licensed & Credentialed Nurse Practitioner
State: IL | License: 209021680 | Primary Taxonomy: Yes
363LP0200X β€” Nurse Practitioner, Pediatrics
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: MO | License: 2020022571 | Primary Taxonomy: Secondary
363LP0200X β€” Nurse Practitioner, Pediatrics
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: IL | License: 209.021680 | Primary Taxonomy: Secondary