CMS-1500 Box 24J / 33a • NPI
1811363690
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
E23970 POW WOW TRAIL, WATERSMEET, MI, 49969
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811363690 (LISA MEZA, P.A.-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 #1811363690)
Medicare Beneficiaries
66
Total Billed Services
280
Distinct CPT/HCPCS Codes
32
Medicare Allowed Total
$3,404.89
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
80048 | Blood test, basic group of blood chemicals (calcium, total) | 16 |
80053 | Blood test, comprehensive group of blood chemicals | 32 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 30 |
83036 | Hemoglobin a1c level | 54 |
84443 | Blood test, thyroid stimulating hormone (tsh) | 12 |
85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 50 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 41 | 20 |
| Alendronate Sodium Alendronate Sodium | 25 | <11 |
| Allopurinol Allopurinol | 19 | <11 |
| Alprazolam Alprazolam | 11 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 83 | 29 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 | 15 |
| Arexvy Rsvpref3 Antigen/As01e/Pf | 12 | 12 |
| Atenolol Atenolol | 30 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811363690 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LISA MEZA, P.A.-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 | E23970 POW WOW TRAIL, WATERSMEET, MI, 49969 |
| Practice Telephone / Fax | Tel: (906) 358-4587 | Fax: (906) 358-4118 |
| Administrative Mailing Address | E23970 POW WOW TRAIL, WATERSMEET, MI, 49969 |
| Enumeration & Last Sync | Enumerated: 2015-08-17 | CMS Record Updated: 2015-08-17 |
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 (LISA MEZA, P.A.-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: MI | License: 5601007437 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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