CMS-1500 Box 24J / 33a • NPI
1871165506
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367H00000X (CMS 32)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant
Box 32 Service Location & ZIP+4
800 PRUDENTIAL DR, JACKSONVILLE, FL, 32207-8202
✓ 9-Digit EDI 837 ZIP+4 (32207-8202)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871165506 (CEDRICK DUCARMEL ADE) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1871165506)
Medicare Beneficiaries
236
Total Billed Services
242
Distinct CPT/HCPCS Codes
56
Medicare Allowed Total
$27,087.56
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 |
00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 12 |
00790 | Anesthesia for other procedure on upper abdomen | 12 |
00811 | Anesthesia for other procedure on large bowel using an endoscope | 15 |
00812 | Anesthesia for exam of colon using an endoscope | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871165506 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CEDRICK DUCARMEL ADE |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant NUCC Code: 367H00000X (Anesthesiologist Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 800 PRUDENTIAL DR, JACKSONVILLE, FL, 32207-8202 |
| Practice Telephone / Fax | Tel: (904) 202-2000 |
| Administrative Mailing Address | 55 LINDENWOOD PL, ST JOHNS, FL, 32259-7097 |
| Enumeration & Last Sync | Enumerated: 2021-07-13 | CMS Record Updated: 2024-08-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367H00000X)
What Does Taxonomy Code 367H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367H00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CEDRICK DUCARMEL ADE)
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 |
|---|---|
367H00000X — Anesthesiologist AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant | State: FL | License: AA674 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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