CMS-1500 Box 24J / 33a • NPI
1922034016
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
10650 PARK RD, CHARLOTTE, NC, 28210-8538
✓ 9-Digit EDI 837 ZIP+4 (28210-8538)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1922034016 (JESSICA JANE AMBROSE, PA) 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 #1922034016)
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 |
99291 | Critical care, first 30-74 minutes | 17 |
99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 48 |
99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 106 |
99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 196 |
99497 | Advance care planning, first 30 minutes | 39 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 12 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 11 | <11 |
| Donepezil Hcl Donepezil Hcl | 15 | <11 |
| Furosemide Furosemide | 24 | 11 |
| Levothyroxine Sodium Levothyroxine Sodium | 18 | <11 |
| Lisinopril Lisinopril | 15 | <11 |
| Metformin Hcl Metformin Hcl | 12 | <11 |
| Mirtazapine Mirtazapine | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1922034016 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JESSICA JANE AMBROSE, PA |
| 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 | 10650 PARK RD, CHARLOTTE, NC, 28210-8538 |
| Practice Telephone / Fax | Tel: (704) 667-3840 |
| Administrative Mailing Address | PO BOX 19305, CHARLOTTE, NC, 28219-9305 |
| Enumeration & Last Sync | Enumerated: 2006-06-23 | CMS Record Updated: 2025-11-11 |
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 (JESSICA JANE AMBROSE, PA)
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: NC | License: 0010-00912 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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