CMS-1500 Box 24J / 33a • NPI
1710152020
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
307 OGDEN AVE, CLINTON CLINIC, CLINTON, WI, 53525-9007
✓ 9-Digit EDI 837 ZIP+4 (53525-9007)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710152020 (HEATHER LYNN KLUCK, PA-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 #1710152020)
Medicare Beneficiaries
161
Total Billed Services
630
Distinct CPT/HCPCS Codes
34
Medicare Allowed Total
$34,440.23
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 108 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 56 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 102 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 68 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 190 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710152020 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HEATHER LYNN KLUCK, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 307 OGDEN AVE, CLINTON CLINIC, CLINTON, WI, 53525-9007 |
| Practice Telephone / Fax | Tel: (608) 676-2206 | Fax: (608) 676-4029 |
| Administrative Mailing Address | 1115 EAGLE CT, EDGERTON, WI, 53534-8548 |
| Enumeration & Last Sync | Enumerated: 2008-04-28 | CMS Record Updated: 2025-10-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in CLINTON
🔒 Are you HEATHER LYNN KLUCK, PA-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HEATHER LYNN KLUCK, PA-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 |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: WI | License: 3201 | Primary: Yes (Primary) |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: WI | License: 3201-23 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: IL | License: 085-002399 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.