CMS-1500 Box 24J / 33a • NPI
1730606740
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
759 CHESTNUT ST, SPRINGFIELD, MA, 01107-1619
✓ 9-Digit EDI 837 ZIP+4 (01107-1619)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1730606740 (JORDAN ELIZABETH BRUNELLE, 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 #1730606740)
Medicare Beneficiaries
19
Total Billed Services
19
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$2,753.81
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1730606740 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JORDAN ELIZABETH BRUNELLE, 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 | 759 CHESTNUT ST, SPRINGFIELD, MA, 01107-1619 |
| Practice Telephone / Fax | Tel: (413) 794-6297 |
| Administrative Mailing Address | 280 CHESTNUT ST FL 2, SPRINGFIELD, MA, 01199-1001 |
| Enumeration & Last Sync | Enumerated: 2017-08-30 | CMS Record Updated: 2023-11-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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 (JORDAN ELIZABETH BRUNELLE, 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: MA | License: PA6202 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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