CMS-1500 Box 24J / 33a • NPI
1750742912
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LW0102X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health
Box 32 Service Location & ZIP+4
105 STEVENS AVE, MOUNT VERNON, NY, 10550-2686
✓ 9-Digit EDI 837 ZIP+4 (10550-2686)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1750742912 (JESSICA ABAD, WHNP) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1750742912 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JESSICA ABAD, WHNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health NUCC Code: 363LW0102X (Nurse Practitioner, Women's Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 105 STEVENS AVE, MOUNT VERNON, NY, 10550-2686 |
| Practice Telephone / Fax | Tel: (646) 329-4773 |
| Administrative Mailing Address | 105 STEVENS AVE STE 506, MOUNT VERNON, NY, 10550-2683 |
| Enumeration & Last Sync | Enumerated: 2016-03-16 | CMS Record Updated: 2026-05-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LW0102X)
What Does Taxonomy Code 363LW0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LW0102X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JESSICA ABAD, WHNP)
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 |
|---|---|
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: NY | License: 311895 | Primary: Secondary |
363LW0102X — Nurse Practitioner, Women's HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health | State: NY | License: F421787 | Primary: Yes (Primary) |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: NY | License: 745739 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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