CMS-1500 Box 24J / 33a • NPI
1770349631
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1004 HEALTH CENTER DR STE 100, MATTOON, IL, 61938-4607
✓ 9-Digit EDI 837 ZIP+4 (61938-4607)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1770349631 (QUINN EASTON CAMFIELD, PA-C, RRT) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770349631 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | QUINN EASTON CAMFIELD, PA-C, RRT |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1004 HEALTH CENTER DR STE 100, MATTOON, IL, 61938-4607 |
| Practice Telephone / Fax | Tel: (217) 238-3435 | Fax: (217) 238-3492 |
| Administrative Mailing Address | PO BOX 372, MATTOON, IL, 61938-0372 |
| Enumeration & Last Sync | Enumerated: 2024-02-27 | CMS Record Updated: 2025-03-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (QUINN EASTON CAMFIELD, PA-C, RRT)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: IL | License: 085-010278 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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