CMS-1500 Box 24J / 33a • NPI
1821719899
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
45465 FIFTH AVE, CALLAHAN, FL, 32011-3901
✓ 9-Digit EDI 837 ZIP+4 (32011-3901)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821719899 (SHANNON MARIE CISLO, 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 #1821719899)
Medicare Beneficiaries
379
Total Billed Services
928
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$68,938.78
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 | 40 |
71046 | X-ray of chest, 2 views | 24 |
81003 | Automated urinalysis test | 62 |
83036 | Hemoglobin a1c level | 14 |
87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 71 |
87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 24 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 18 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 74 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 49 | 41 |
| Amlodipine Besylate Amlodipine Besylate | 47 | 33 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 31 | 31 |
| Atorvastatin Calcium Atorvastatin Calcium | 55 | 41 |
| Azelastine Hcl Azelastine Hcl | 13 | 13 |
| Azithromycin Azithromycin | 26 | 26 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 13 | <11 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 23 | 21 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821719899 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHANNON MARIE CISLO, 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 | 45465 FIFTH AVE, CALLAHAN, FL, 32011-3901 |
| Practice Telephone / Fax | Tel: (904) 879-4544 | Fax: (904) 390-7472 |
| Administrative Mailing Address | PO BOX 746638, ATLANTA, GA, 30374-6638 |
| Enumeration & Last Sync | Enumerated: 2022-09-08 | CMS Record Updated: 2026-07-06 |
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 (SHANNON MARIE CISLO, 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: FL | License: PA9117460 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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