CMS-1500 Box 24J / 33a • NPI
1992354112
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
44 S MAIN ST, RANDOLPH, VT, 05060-1381
✓ 9-Digit EDI 837 ZIP+4 (05060-1381)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992354112 (MINTA TRIVETTE, NP) 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 #1992354112)
Medicare Beneficiaries
43
Total Billed Services
124
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$3,366.69
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 11 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 20 | <11 |
| Alendronate Sodium Alendronate Sodium | 30 | 11 |
| Alprazolam Alprazolam | 12 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 73 | 25 |
| Atorvastatin Calcium Atorvastatin Calcium | 87 | 29 |
| Bupropion Xl Bupropion Hcl | 32 | <11 |
| Buspirone Hcl Buspirone Hcl | 12 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 25 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1992354112 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MINTA TRIVETTE, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 44 S MAIN ST, RANDOLPH, VT, 05060-1381 |
| Practice Telephone / Fax | Tel: (802) 728-2445 |
| Administrative Mailing Address | 44 S MAIN ST, RANDOLPH, VT, 05060-1381 |
| Enumeration & Last Sync | Enumerated: 2019-09-10 | CMS Record Updated: 2020-09-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MINTA TRIVETTE, NP)
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 |
|---|---|
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: VT | License: 101.0134385 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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