CMS-1500 Box 24J / 33a • NPI
1679268015
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
4 SLAPP HL, HARDWICK, VT, 05843-9300
✓ 9-Digit EDI 837 ZIP+4 (05843-9300)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679268015 (ABIGAIL PROVOST) 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 #1679268015)
Medicare Beneficiaries
45
Total Billed Services
57
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$1,172.10
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 17 |
83036 | Hemoglobin a1c level | 12 |
87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 12 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 51 | 25 |
| Amlodipine Besylate Amlodipine Besylate | 36 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 60 | 24 |
| Azithromycin Azithromycin | 12 | 12 |
| Buspirone Hcl Buspirone Hcl | 16 | <11 |
| Citalopram Hbr Citalopram Hydrobromide | 13 | <11 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 13 | <11 |
| Dilt-Xr Diltiazem Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679268015 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ABIGAIL PROVOST |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4 SLAPP HL, HARDWICK, VT, 05843-9300 |
| Practice Telephone / Fax | Tel: (802) 472-3300 |
| Administrative Mailing Address | 340 WALLACE RD, DERBY, VT, 05829-9491 |
| Enumeration & Last Sync | Enumerated: 2023-04-11 | CMS Record Updated: 2025-05-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in HARDWICK
🔒 Are you ABIGAIL PROVOST? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABIGAIL PROVOST)
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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: VT | License: 101.0136309 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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