CMS-1500 Box 24J / 33a • NPI
1619286184
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
1815 WISCONSIN AVE, BENSON, MN, 56215-1653
✓ 9-Digit EDI 837 ZIP+4 (56215-1653)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619286184 (LAURIE CLAUSSEN O'LEARY, CRNA) 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 #1619286184)
Medicare Beneficiaries
42
Total Billed Services
47
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$5,106.15
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 24 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 21 | 21 |
| Atorvastatin Calcium Atorvastatin Calcium | 28 | <11 |
| Azithromycin Azithromycin | 13 | 13 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 14 | 14 |
| Eliquis Apixaban | 15 | <11 |
| Famotidine Famotidine | 12 | <11 |
| Fenofibrate Fenofibrate Nanocrystallized | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619286184 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LAURIE CLAUSSEN O'LEARY, CRNA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1815 WISCONSIN AVE, BENSON, MN, 56215-1653 |
| Practice Telephone / Fax | Tel: (320) 843-4232 |
| Administrative Mailing Address | 1815 WISCONSIN AVE, BENSON, MN, 56215-1653 |
| Enumeration & Last Sync | Enumerated: 2010-10-01 | CMS Record Updated: 2022-03-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LAURIE CLAUSSEN O'LEARY, CRNA)
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 |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: MN | License: 1648827 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MN | License: 9048 | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: MN | License: 687 | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: MN | License: R164882-7 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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