CMS-1500 Box 24J / 33a • NPI
1922638618
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
140 WHITE SAGE AVE, DELTA, UT, 84624-8928
✓ 9-Digit EDI 837 ZIP+4 (84624-8928)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1922638618 (MANDY LYNN LEMMON, 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 #1922638618)
Medicare Beneficiaries
172
Total Billed Services
4,148
Distinct CPT/HCPCS Codes
86
Medicare Allowed Total
$46,888.12
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 | 61 |
80053 | Blood test, comprehensive group of blood chemicals | 49 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 27 |
81002 | Urinalysis, manual test | 57 |
82043 | Urine microalbumin (protein) level | 14 |
82570 | Creatinine level to test for kidney function or muscle injury | 14 |
83036 | Hemoglobin a1c level | 24 |
84439 | Thyroxine (thyroid chemical), free | 20 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 14 | 12 |
| Alprazolam Alprazolam | 26 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 17 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 25 | 19 |
| Atorvastatin Calcium Atorvastatin Calcium | 31 | 12 |
| Azithromycin Azithromycin | 39 | 31 |
| Cefdinir Cefdinir | 19 | 17 |
| Celecoxib Celecoxib | 24 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1922638618 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MANDY LYNN LEMMON, 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 | 140 WHITE SAGE AVE, DELTA, UT, 84624-8928 |
| Practice Telephone / Fax | Tel: (435) 864-3333 |
| Administrative Mailing Address | 14574 S QUIET SHADE DR, HERRIMAN, UT, 84096-4824 |
| Enumeration & Last Sync | Enumerated: 2020-01-22 | CMS Record Updated: 2020-01-22 |
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 (MANDY LYNN LEMMON, 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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: UT | License: 319266-4405 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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