CONNIE LYNN POWELL — NPI 1780258582 (Licensed & Credentialed Technician, Personal Care Attendant in WILLISTON, ND)

CMS-1500 Box 24J / 33a • NPI

1780258582

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3747P1801X

Licensed & Credentialed Technician, Personal Care Attendant

Box 32 Service Location & ZIP+4

2805 28TH AVE S, WILLISTON, ND, 58849-5884

✓ 9-Digit EDI 837 ZIP+4 (58849-5884)

Practice Phone & Referral Fax

(206) 200-8595

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780258582 (CONNIE LYNN POWELL) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780258582` (NPI-1 Individual Practitioner)
Provider / Legal Name	CONNIE LYNN POWELL
Plain-English Specialty	Licensed & Credentialed Technician, Personal Care Attendant NUCC Code: `3747P1801X` (Technician, Personal Care Attendant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2805 28TH AVE S, WILLISTON, ND, 58849-5884
Practice Telephone / Fax	Tel: (206) 200-8595
Administrative Mailing Address	PO BOX 752, RAY, ND, 58849-0752
Enumeration & Last Sync	Enumerated: 2021-05-17 \| CMS Record Updated: 2021-05-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2805 28TH AVE S, WILLISTON, ND, 58849-5884

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Plain-English Taxonomy & CMS Crosswalk (3747P1801X)

What Does Taxonomy Code 3747P1801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747P1801X translates to:
"Licensed & Credentialed Technician, Personal Care Attendant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Personal Care Attendant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CONNIE LYNN POWELL)

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

Common Therapeutic Classes:

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
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CONNIE LYNN POWELL (NPI #1780258582)