CMS-1500 Box 24J / 33a • NPI
1770011397
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
150 W HIGH ST, MORRIS, IL, 60450
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1770011397 (ASHLEY BLOUGH) 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 #1770011397)
Medicare Beneficiaries
119
Total Billed Services
438
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$30,472.47
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 129 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 |
G0444 | Annual depression screening, 5 to 15 minutes | 14 |
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 | 36 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 31 | 13 |
| Allopurinol Allopurinol | 11 | <11 |
| Alprazolam Alprazolam | 28 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 53 | 13 |
| Atorvastatin Calcium Atorvastatin Calcium | 84 | 31 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 15 | <11 |
| Celecoxib Celecoxib | 38 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 16 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770011397 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ASHLEY BLOUGH |
| 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 | 150 W HIGH ST, MORRIS, IL, 60450 |
| Practice Telephone / Fax | Tel: (815) 942-2932 | Fax: (815) 416-6097 |
| Administrative Mailing Address | 725 SCHOOL ST STE A, MORRIS, IL, 60450-1207 |
| Enumeration & Last Sync | Enumerated: 2017-05-25 | CMS Record Updated: 2020-04-28 |
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 (ASHLEY BLOUGH)
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: IL | License: 209015876 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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