CMS-1500 Box 24J / 33a • NPI
1770283921
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
2187 SWANSON AVE, LAKE HAVASU CITY, AZ, 86403-6838
✓ 9-Digit EDI 837 ZIP+4 (86403-6838)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1770283921 (YINKA TOSHO ALAYANDE, PMHNP-BC) 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 #1770283921)
Medicare Beneficiaries
16
Total Billed Services
19
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$2,068.20
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 14 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alprazolam Alprazolam | 12 | <11 |
| Aripiprazole Aripiprazole | 14 | <11 |
| Buspirone Hcl Buspirone Hcl | 28 | 12 |
| Duloxetine Hcl Duloxetine Hcl | 17 | <11 |
| Escitalopram Oxalate Escitalopram Oxalate | 25 | 12 |
| Fluoxetine Hcl Fluoxetine Hcl | 19 | <11 |
| Hydroxyzine Hcl Hydroxyzine Hcl | 22 | 13 |
| Hydroxyzine Pamoate Hydroxyzine Pamoate | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770283921 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | YINKA TOSHO ALAYANDE, PMHNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2187 SWANSON AVE, LAKE HAVASU CITY, AZ, 86403-6838 |
| Practice Telephone / Fax | Tel: (928) 757-8111 | Fax: (959) 210-6634 |
| Administrative Mailing Address | 3707 N STOCKTON HILL RD STE B, KINGMAN, AZ, 86409-0507 |
| Enumeration & Last Sync | Enumerated: 2023-03-07 | CMS Record Updated: 2025-01-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (YINKA TOSHO ALAYANDE, PMHNP-BC)
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 |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: TX | License: 1112295 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: NM | License: 73419 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: AZ | License: 286130 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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