CMS-1500 Box 24J / 33a • NPI
1942061700
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
13600 E 86TH ST N STE 100, OWASSO, OK, 74055-8732
✓ 9-Digit EDI 837 ZIP+4 (74055-8732)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942061700 (RYAN ELIZABETH ALLEN, PA-C) 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 #1942061700)
Medicare Beneficiaries
229
Total Billed Services
823
Distinct CPT/HCPCS Codes
40
Medicare Allowed Total
$30,138.27
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 38 |
83036 | Hemoglobin a1c level | 36 |
90662 | Influenza vaccine split virus, preservative free | 20 |
96372 | Injection of drug or substance under skin or into muscle | 13 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 120 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 189 |
G0008 | Administration of influenza virus vaccine | 21 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 28 | 21 |
| Amlodipine Besylate Amlodipine Besylate | 43 | 27 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 42 | 38 |
| Atorvastatin Calcium Atorvastatin Calcium | 49 | 29 |
| Azithromycin Azithromycin | 26 | 25 |
| Cephalexin Cephalexin | 13 | 13 |
| Citalopram Hbr Citalopram Hydrobromide | 13 | <11 |
| Escitalopram Oxalate Escitalopram Oxalate | 23 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942061700 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RYAN ELIZABETH ALLEN, PA-C |
| 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 | 13600 E 86TH ST N STE 100, OWASSO, OK, 74055-8732 |
| Practice Telephone / Fax | Tel: (918) 272-9313 |
| Administrative Mailing Address | 1923 S UTICA AVE, TULSA, OK, 74104-6520 |
| Enumeration & Last Sync | Enumerated: 2024-01-18 | CMS Record Updated: 2026-01-22 |
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 (RYAN ELIZABETH ALLEN, PA-C)
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: OK | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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