CMS-1500 Box 24J / 33a • NPI
1558256271
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2100X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care
Box 32 Service Location & ZIP+4
1531 ESPLANADE, CHICO, CA, 95926-3310
✓ 9-Digit EDI 837 ZIP+4 (95926-3310)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1558256271 (AUTUMN FAITH AVALOS, RN) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1558256271 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AUTUMN FAITH AVALOS, RN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: 363LA2100X (Nurse Practitioner, Acute Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1531 ESPLANADE, CHICO, CA, 95926-3310 |
| Practice Telephone / Fax | Tel: (530) 332-7309 |
| Administrative Mailing Address | 170 ARTESIA DR, CHICO, CA, 95973-5614 |
| Enumeration & Last Sync | Enumerated: 2025-06-11 | CMS Record Updated: 2025-11-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)
What Does Taxonomy Code 363LA2100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AUTUMN FAITH AVALOS, RN)
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 |
|---|---|
163WC0200X — Registered Nurse, Critical Care MedicinePlain English: Licensed & Credentialed Registered Nurse, Critical Care Medicine | State: CA | License: 95167088 | Primary: Secondary |
363LA2100X — Nurse Practitioner, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care | State: CA | License: 95037536 | Primary: Yes (Primary) |
363LC0200X — Nurse Practitioner, Critical Care MedicinePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Critical Care Medicine | State: CA | License: 95037536 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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