CMS-1500 Box 24J / 33a • NPI
1700458528
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
4054 NORRIS RD, BELLVILLE, OH, 44813-9141
✓ 9-Digit EDI 837 ZIP+4 (44813-9141)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1700458528 (SAMANTHA MICHELLE BROCWELL, FNP-C) 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 #1700458528)
Medicare Beneficiaries
145
Total Billed Services
204
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$25,876.22
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 32 |
27130 | Replacement of thigh bone and hip joint with prosthesis | 40 |
27447 | Replacement of knee joint, both sides of knee | 73 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 145 | 125 |
| Celecoxib Celecoxib | 125 | 108 |
| Cephalexin Cephalexin | 97 | 88 |
| Clarithromycin Clarithromycin | 32 | 29 |
| Doxycycline Hyclate Doxycycline Hyclate | 18 | 17 |
| Eliquis Apixaban | 29 | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 90 | 76 |
| Meloxicam Meloxicam | 46 | 33 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1700458528 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SAMANTHA MICHELLE BROCWELL, FNP-C |
| 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 | 4054 NORRIS RD, BELLVILLE, OH, 44813-9141 |
| Practice Telephone / Fax | Tel: (419) 961-7825 |
| Administrative Mailing Address | 4054 NORRIS RD, BELLVILLE, OH, 44813-9141 |
| Enumeration & Last Sync | Enumerated: 2021-07-12 | CMS Record Updated: 2021-08-31 |
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 (SAMANTHA MICHELLE BROCWELL, FNP-C)
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: OH | License: APRN.CNP.0029443 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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