CMS-1500 Box 24J / 33a • NPI
1952713745
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
1900 SOUTH COUNTRY CLUB, EL RENO, OK, 73036
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952713745 (DAPHNE M BURNETT-OVERSTAD, DNP,APRN,FNP-C,CCNS) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952713745 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAPHNE M BURNETT-OVERSTAD, DNP,APRN,FNP-C,CCNS |
| 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 | 1900 SOUTH COUNTRY CLUB, EL RENO, OK, 73036 |
| Practice Telephone / Fax | Tel: (405) 295-2900 | Fax: (405) 350-3744 |
| Administrative Mailing Address | 4012 TORI PL, YUKON, OK, 73099-2900 |
| Enumeration & Last Sync | Enumerated: 2014-05-28 | CMS Record Updated: 2025-12-16 |
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 (DAPHNE M BURNETT-OVERSTAD, DNP,APRN,FNP-C,CCNS)
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 |
|---|---|
364SA2100X — Clinical Nurse Specialist, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care | State: OK | License: 52252 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: OK | License: 214842 | Primary: Yes (Primary) |
364SA2100X — Clinical Nurse Specialist, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care | State: OK | License: R0052252 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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