CMS-1500 Box 24J / 33a • NPI
1942407069
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
255 E OLD STURBRIDGE RD, BRIMFIELD, MA, 01010-9647
✓ 9-Digit EDI 837 ZIP+4 (01010-9647)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942407069 (KIMBERLY L VETAL, F.N.P.) 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 #1942407069)
Medicare Beneficiaries
262
Total Billed Services
977
Distinct CPT/HCPCS Codes
33
Medicare Allowed Total
$57,677.39
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 20 |
83036 | Hemoglobin a1c level | 80 |
90653 | Influenza vaccine, inactivated | 41 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 124 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 266 |
99442 | Telephone medical discussion with physician, 11-20 minutes | 16 |
G0008 | Administration of influenza virus vaccine | 48 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 189 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ajovy Autoinjector Fremanezumab-Vfrm | 11 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 111 | 41 |
| Alendronate Sodium Alendronate Sodium | 72 | 26 |
| Allopurinol Allopurinol | 38 | 13 |
| Alprazolam Alprazolam | 36 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 17 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 112 | 44 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 18 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942407069 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIMBERLY L VETAL, F.N.P. |
| 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 | 255 E OLD STURBRIDGE RD, BRIMFIELD, MA, 01010-9647 |
| Practice Telephone / Fax | Tel: (413) 245-3389 | Fax: (413) 245-4553 |
| Administrative Mailing Address | 255 E OLD STURBRIDGE RD, BRIMFIELD, MA, 01010-9647 |
| Enumeration & Last Sync | Enumerated: 2007-07-02 | CMS Record Updated: 2011-12-21 |
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 (KIMBERLY L VETAL, F.N.P.)
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: MA | License: 195415 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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