CMS-1500 Box 24J / 33a • NPI
1831885169
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
272 N MAIN ST, UNIT 101, CAMBRIDGE, VT, 05444
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831885169 (KRISTINE NOELLE PAVLOVIC, FNP) 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 #1831885169)
Medicare Beneficiaries
80
Total Billed Services
138
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$1,282.35
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 30 |
83036 | Hemoglobin a1c level | 44 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 11 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 49 | 23 |
| Allopurinol Allopurinol | 13 | <11 |
| Alprazolam Alprazolam | 12 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 47 | 22 |
| Atorvastatin Calcium Atorvastatin Calcium | 94 | 34 |
| Azithromycin Azithromycin | 30 | 25 |
| Buprenorphine Hcl Buprenorphine Hcl | 13 | <11 |
| Cephalexin Cephalexin | 25 | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831885169 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KRISTINE NOELLE PAVLOVIC, FNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 272 N MAIN ST, UNIT 101, CAMBRIDGE, VT, 05444 |
| Practice Telephone / Fax | Tel: (802) 644-5114 | Fax: (802) 888-6075 |
| Administrative Mailing Address | PO BOX 749, MORRISVILLE, VT, 05661-0749 |
| Enumeration & Last Sync | Enumerated: 2023-04-11 | CMS Record Updated: 2023-10-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KRISTINE NOELLE PAVLOVIC, FNP)
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 |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: VT | License: 101.0136022 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: VT | License: 101.0136022 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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