CMS-1500 Box 24J / 33a • NPI
1740728039
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
317 N 5TH ST, SPRINGFIELD, IL, 62701-1003
✓ 9-Digit EDI 837 ZIP+4 (62701-1003)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1740728039 (JENNA SCHRAGE, NP) 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 #1740728039)
Medicare Beneficiaries
758
Total Billed Services
2,652
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$134,646.57
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
31231 | Diagnostic exam of nasal passages using an endoscope | 210 |
69210 | Removal of impacted ear wax | 222 |
92550 | Test for eardrum and muscle function | 93 |
92557 | Comprehensive hearing and speech recognition test | 154 |
92567 | Test to assess middle ear function | 66 |
95004 | Test for allergy using allergenic extract | 784 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 237 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 37 | 32 |
| Azelastine Hcl Azelastine Hcl | 49 | 18 |
| Azithromycin Azithromycin | 12 | 11 |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | 33 | 26 |
| Clonazepam Clonazepam | 16 | <11 |
| Epinephrine Epinephrine | 15 | 13 |
| Famotidine Famotidine | 33 | 14 |
| Fluconazole Fluconazole | 14 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1740728039 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNA SCHRAGE, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 317 N 5TH ST, SPRINGFIELD, IL, 62701-1003 |
| Practice Telephone / Fax | Tel: (618) 514-9941 |
| Administrative Mailing Address | 506 E BROOK DR, AVISTON, IL, 62216-3610 |
| Enumeration & Last Sync | Enumerated: 2017-02-07 | CMS Record Updated: 2019-12-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNA SCHRAGE, NP)
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 |
|---|---|
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 209015049 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: IL | License: 209015049 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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