CMS-1500 Box 24J / 33a • NPI
1780327148
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
870 STATE FARM RD STE 102, BOONE, NC, 28607-4862
✓ 9-Digit EDI 837 ZIP+4 (28607-4862)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780327148 (APPALACHIAN REGIONAL MEDICAL ASSOCIATES) 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 | 1780327148 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | APPALACHIAN REGIONAL MEDICAL ASSOCIATES |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 870 STATE FARM RD STE 102, BOONE, NC, 28607-4862 |
| Practice Telephone / Fax | Tel: (828) 264-0029 | Fax: (828) 265-3305 |
| Administrative Mailing Address | 155 FURMAN RD STE 101, BOONE, NC, 28607-5049 |
| Enumeration & Last Sync | Enumerated: 2022-04-14 | CMS Record Updated: 2025-01-17 |
| Authorized Official | MARY LONG (SVP Medical Staff Relations) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (APPALACHIAN REGIONAL MEDICAL ASSOCIATES)
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 |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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