CMS-1500 Box 24J / 33a • NPI
1801895560
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SP0807X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent
Box 32 Service Location & ZIP+4
1780 OLD HIGHWAY 50 E, UNION, MO, 63084-3397
✓ 9-Digit EDI 837 ZIP+4 (63084-3397)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1801895560 (CATHY ANNIS-NEUBAUER, CNS) 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 | 1801895560 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CATHY ANNIS-NEUBAUER, CNS |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent NUCC Code: 364SP0807X (Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1780 OLD HIGHWAY 50 E, UNION, MO, 63084-3397 |
| Practice Telephone / Fax | Tel: (888) 403-1071 |
| Administrative Mailing Address | 1800 COMMUNITY, CLINTON, MO, 64735-8804 |
| Enumeration & Last Sync | Enumerated: 2005-07-15 | CMS Record Updated: 2018-11-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (364SP0807X)
What Does Taxonomy Code 364SP0807X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SP0807X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CATHY ANNIS-NEUBAUER, CNS)
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 |
|---|---|
364SP0807X — Clinical Nurse Specialist, Psych/Mental Health, Child & AdolescentPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent | State: MO | License: 096775 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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