CMS-1500 Box 24J / 33a • NPI
1790266559
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2200X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health
Box 32 Service Location & ZIP+4
1900 CENTRACARE CIR STE 2400, SAINT CLOUD, MN, 56303-5000
✓ 9-Digit EDI 837 ZIP+4 (56303-5000)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790266559 (SARAH CAMPOS, MSN, APRN, A-GNP-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 #1790266559)
Medicare Beneficiaries
13
Total Billed Services
13
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$1,463.19
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 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790266559 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SARAH CAMPOS, MSN, APRN, A-GNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: 363LA2200X (Nurse Practitioner, Adult Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1900 CENTRACARE CIR STE 2400, SAINT CLOUD, MN, 56303-5000 |
| Practice Telephone / Fax | Tel: (320) 229-4916 |
| Administrative Mailing Address | 17851 WOOD DR, CROSSLAKE, MN, 56442-2883 |
| Enumeration & Last Sync | Enumerated: 2018-08-28 | CMS Record Updated: 2024-07-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)
What Does Taxonomy Code 363LA2200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SARAH CAMPOS, MSN, APRN, A-GNP-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 |
|---|---|
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: MN | License: 5883 | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: MN | License: 5883 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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