CMS-1500 Box 24J / 33a • NPI
1619562295
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
6140 W CURTISIAN AVE STE 200, BOISE, ID, 83704-0107
✓ 9-Digit EDI 837 ZIP+4 (83704-0107)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619562295 (GARHETT J ULMER, NP) 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 #1619562295)
Medicare Beneficiaries
128
Total Billed Services
184
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$3,757.29
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 142 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 30 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 14 | 11 |
| Carvedilol Carvedilol | 29 | 16 |
| Digoxin Digoxin | 15 | <11 |
| Dofetilide Dofetilide | 51 | 43 |
| Eliquis Apixaban | 70 | 28 |
| Metoprolol Succinate Metoprolol Succinate | 174 | 84 |
| Montelukast Sodium Montelukast Sodium | 11 | <11 |
| Pantoprazole Sodium Pantoprazole Sodium | 71 | 54 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619562295 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GARHETT J ULMER, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6140 W CURTISIAN AVE STE 200, BOISE, ID, 83704-0107 |
| Practice Telephone / Fax | Tel: (208) 302-0000 |
| Administrative Mailing Address | PO BOX 381, KOOSKIA, ID, 83539-0381 |
| Enumeration & Last Sync | Enumerated: 2021-03-04 | CMS Record Updated: 2023-03-15 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GARHETT J ULMER, NP)
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 |
|---|---|
207RC0001X — Internal Medicine, Clinical Cardiac ElectrophysiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: ID | License: 55923 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: ID | License: 55923 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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