CMS-1500 Box 24J / 33a • NPI
1548452204
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
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN, 56303-1901
✓ 9-Digit EDI 837 ZIP+4 (56303-1901)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1548452204 (CHRISTINE THOMAS ROBINSON BOESE, 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 #1548452204)
Medicare Beneficiaries
188
Total Billed Services
1,702
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$57,077.17
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 131 |
80053 | Blood test, comprehensive group of blood chemicals | 139 |
82728 | Ferritin (blood protein) level | 44 |
83540 | Iron level | 30 |
83550 | Iron binding capacity | 30 |
83615 | Lactate dehydrogenase (enzyme) level | 23 |
84443 | Blood test, thyroid stimulating hormone (tsh) | 44 |
85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 175 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acyclovir Acyclovir | 17 | <11 |
| Anastrozole Anastrozole | 16 | <11 |
| Dexamethasone Dexamethasone | 11 | <11 |
| Furosemide Furosemide | 15 | <11 |
| Gabapentin Gabapentin | 11 | <11 |
| Lorazepam Lorazepam | 13 | <11 |
| Methylphenidate Hcl Methylphenidate Hcl | 14 | <11 |
| Mirtazapine Mirtazapine | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1548452204 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHRISTINE THOMAS ROBINSON BOESE, 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 | 1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN, 56303-1901 |
| Practice Telephone / Fax | Tel: (320) 229-4907 | Fax: (320) 229-5160 |
| Administrative Mailing Address | 1406 6TH AVENUE NORTH, ST CLOUD, MN, 56303-1901 |
| Enumeration & Last Sync | Enumerated: 2007-08-15 | CMS Record Updated: 2022-07-21 |
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 (CHRISTINE THOMAS ROBINSON BOESE, 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: MN | License: 1022 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MN | License: 10287 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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