ANITA MARIE HANDEVIDT, RN CNP CNS — NPI 1891705968 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist in JACKSON, MN)

CMS-1500 Box 24J / 33a • NPI

1891705968

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

364S00000X (CMS 89)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist

Box 32 Service Location & ZIP+4

401 WEST ST, JACKSON, MN, 56143-1219

✓ 9-Digit EDI 837 ZIP+4 (56143-1219)

Practice Phone & Referral Fax

(507) 847-2423

Fax: (507) 847-2422

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891705968 (ANITA MARIE HANDEVIDT, RN CNP 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1891705968` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANITA MARIE HANDEVIDT, RN CNP CNS
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist NUCC Code: `364S00000X` (Clinical Nurse Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	401 WEST ST, JACKSON, MN, 56143-1219
Practice Telephone / Fax	Tel: (507) 847-2423 \| Fax: (507) 847-2422
Administrative Mailing Address	117 S SPRING ST, LUVERNE, MN, 56156-1916
Enumeration & Last Sync	Enumerated: 2006-08-09 \| CMS Record Updated: 2017-02-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

401 WEST ST, JACKSON, MN, 56143-1219

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Plain-English Taxonomy & CMS Crosswalk (364S00000X)

What Does Taxonomy Code 364S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364S00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANITA MARIE HANDEVIDT, RN CNP 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

Common Therapeutic Classes:

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
`364S00000X` — Clinical Nurse Specialist Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist	State: MN \| License: `R0902409` \| Primary: Yes (Primary)
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: MN \| License: `R0902409` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ANITA MARIE HANDEVIDT, RN CNP CNS (NPI #1891705968)