CMS-1500 Box 24J / 33a • NPI
1952097339
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
615 N MICHIGAN ST, SOUTH BEND, IN, 46601-1087
✓ 9-Digit EDI 837 ZIP+4 (46601-1087)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952097339 (MADISON JO BEDWELL, CRNA) 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 #1952097339)
Medicare Beneficiaries
92
Total Billed Services
109
Distinct CPT/HCPCS Codes
43
Medicare Allowed Total
$18,957.49
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952097339 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MADISON JO BEDWELL, CRNA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 615 N MICHIGAN ST, SOUTH BEND, IN, 46601-1087 |
| Practice Telephone / Fax | Tel: (574) 647-1000 |
| Administrative Mailing Address | 7688 E SCOTT ST, DUGGER, IN, 47848-8018 |
| Enumeration & Last Sync | Enumerated: 2023-04-18 | CMS Record Updated: 2026-03-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MADISON JO BEDWELL, CRNA)
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 |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: IN | License: 28244374A | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: IN | License: Verified | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: IN | License: 144620 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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