CHARLOTTE LYNN HACK — NPI 1619416443 (Licensed & Credentialed Nurse's Aide in NORTH LIMA, OH)

CMS-1500 Box 24J / 33a • NPI

1619416443

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

376K00000X

Licensed & Credentialed Nurse's Aide

Box 32 Service Location & ZIP+4

12236 MARKET ST, NORTH LIMA, OH, 44452-9770

✓ 9-Digit EDI 837 ZIP+4 (44452-9770)

Practice Phone & Referral Fax

(330) 718-6698

Fax: (330) 549-0383

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619416443 (CHARLOTTE LYNN HACK) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619416443` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHARLOTTE LYNN HACK
Plain-English Specialty	Licensed & Credentialed Nurse's Aide NUCC Code: `376K00000X` (Nurse's Aide)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12236 MARKET ST, NORTH LIMA, OH, 44452-9770
Practice Telephone / Fax	Tel: (330) 718-6698 \| Fax: (330) 549-0383
Administrative Mailing Address	6538 MARKET ST., BOARDMAN, OH, 44512
Enumeration & Last Sync	Enumerated: 2017-02-13 \| CMS Record Updated: 2017-04-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12236 MARKET ST, NORTH LIMA, OH, 44452-9770

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Plain-English Taxonomy & CMS Crosswalk (376K00000X)

What Does Taxonomy Code 376K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376K00000X translates to:
"Licensed & Credentialed Nurse's Aide"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse's Aide for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARLOTTE LYNN HACK)

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

Common Therapeutic Classes:

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
`376K00000X` — Nurse's Aide Plain English: Licensed & Credentialed Nurse's Aide	State: OH \| License: `401815311215` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHARLOTTE LYNN HACK (NPI #1619416443)