CMS-1500 Box 24J / 33a • NPI
1689697930
Type 2 Organization (Box 32a/33a)
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
81 S. I-75 BUSINESS LOOP, GRAYLING, MI, 49738-0393
✓ 9-Digit EDI 837 ZIP+4 (49738-0393)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689697930 (AUSABLE MEDICAL ASSOCIATES, PC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689697930 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AUSABLE MEDICAL ASSOCIATES, PC |
| 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 | 81 S. I-75 BUSINESS LOOP, GRAYLING, MI, 49738-0393 |
| Practice Telephone / Fax | Tel: (989) 348-7400 | Fax: (888) 821-5005 |
| Administrative Mailing Address | PO BOX 393, GRAYLING, MI, 49738-0393 |
| Enumeration & Last Sync | Enumerated: 2006-07-26 | CMS Record Updated: 2014-01-27 |
| Authorized Official | GERALD GERTISER (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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 (AUSABLE MEDICAL ASSOCIATES, PC)
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 |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MI | License: LH010698 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: MI | License: 5601002890 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MI | License: 4704216377 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MI | License: 4704159028 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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