CMS-1500 Box 24J / 33a • NPI
1790155984
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
4208 MURDOCKSVILLE RD, WEST END, NC, 27376-8871
✓ 9-Digit EDI 837 ZIP+4 (27376-8871)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790155984 (MELISSA SUE AUBIN, PA-C) 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 #1790155984)
Medicare Beneficiaries
51
Total Billed Services
432
Distinct CPT/HCPCS Codes
36
Medicare Allowed Total
$17,106.95
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 50 |
80053 | Blood test, comprehensive group of blood chemicals | 26 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 28 |
82306 | Vitamin d-3 level | 18 |
82607 | Cyanocobalamin (vitamin b-12) level | 24 |
82728 | Ferritin (blood protein) level | 15 |
83036 | Hemoglobin a1c level | 27 |
83540 | Iron level | 17 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 20 | 11 |
| Atorvastatin Calcium Atorvastatin Calcium | 26 | 15 |
| Bupropion Hcl Sr Bupropion Hcl | 12 | <11 |
| Famotidine Famotidine | 20 | <11 |
| Levothyroxine Sodium Levothyroxine Sodium | 26 | 14 |
| Lisinopril Lisinopril | 11 | <11 |
| Losartan Potassium Losartan Potassium | 27 | <11 |
| Metformin Hcl Metformin Hcl | 70 | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790155984 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MELISSA SUE AUBIN, PA-C |
| 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 | 4208 MURDOCKSVILLE RD, WEST END, NC, 27376-8871 |
| Practice Telephone / Fax | Tel: (910) 255-4329 |
| Administrative Mailing Address | 205 PAGE RD, PINEHURST, NC, 28374-8798 |
| Enumeration & Last Sync | Enumerated: 2015-09-30 | CMS Record Updated: 2026-02-24 |
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 (MELISSA SUE AUBIN, PA-C)
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: NC | License: 0010-07678 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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