CMS-1500 Box 24J / 33a • NPI
1679792543
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
164W00000X
Licensed & Credentialed Licensed Practical Nurse
Box 32 Service Location & ZIP+4
695 CHELSEA AVE, BEXLEY, OH, 43209-2509
✓ 9-Digit EDI 837 ZIP+4 (43209-2509)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1679792543 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2020-07-20). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679792543 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DEBORAH ANNE CAMPBELL, LPN |
| Plain-English Specialty | Licensed & Credentialed Licensed Practical Nurse NUCC Code: 164W00000X (Licensed Practical Nurse) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 695 CHELSEA AVE, BEXLEY, OH, 43209-2509 |
| Practice Telephone / Fax | Tel: (614) 425-2867 |
| Administrative Mailing Address | 695 CHELSEA AVE, BEXLEY, OH, 43209-2509 |
| Enumeration & Last Sync | Enumerated: 2007-04-25 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (164W00000X)
What Does Taxonomy Code 164W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEBORAH ANNE CAMPBELL, LPN)
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 |
|---|---|
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: OH | License: PN 065379 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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