CMS-1500 Box 24J / 33a • NPI
1972663466
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
1425 N HUNT CLUB RD STE 100, GURNEE, IL, 60031-2632
✓ 9-Digit EDI 837 ZIP+4 (60031-2632)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972663466 (ROSALVA ACOSTA, 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 #1972663466)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 32 | 16 |
| Alendronate Sodium Alendronate Sodium | 93 | 32 |
| Allopurinol Allopurinol | 23 | <11 |
| Alprazolam Alprazolam | 28 | 13 |
| Amitriptyline Hcl Amitriptyline Hcl | 15 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 122 | 42 |
| Atorvastatin Calcium Atorvastatin Calcium | 297 | 104 |
| Azithromycin Azithromycin | 12 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972663466 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROSALVA ACOSTA, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1425 N HUNT CLUB RD STE 100, GURNEE, IL, 60031-2632 |
| Practice Telephone / Fax | Tel: (847) 548-2200 | Fax: (847) 548-2865 |
| Administrative Mailing Address | 1425 N HUNT CLUB RD STE 100, GURNEE, IL, 60031-2632 |
| Enumeration & Last Sync | Enumerated: 2006-12-12 | CMS Record Updated: 2024-02-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROSALVA ACOSTA, 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 |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: IL | License: 085-001716 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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