CMS-1500 Box 24J / 33a • NPI
1992989214
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
1707 N 12TH ST, QUINCY, IL, 62301-1355
✓ 9-Digit EDI 837 ZIP+4 (62301-1355)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992989214 (TERESA A ALLENSWORTH, CNP) 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 #1992989214)
Medicare Beneficiaries
109
Total Billed Services
1,845
Distinct CPT/HCPCS Codes
25
Medicare Allowed Total
$34,974.18
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
71046 | X-ray of chest, 2 views | 16 |
81003 | Automated urinalysis test | 61 |
90480 | Admn sarscov2 vacc 1 dose | 38 |
90662 | Influenza vaccine split virus, preservative free | 29 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 15 |
99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 188 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1992989214 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TERESA A ALLENSWORTH, CNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1707 N 12TH ST, QUINCY, IL, 62301-1355 |
| Practice Telephone / Fax | Tel: (217) 222-8641 | Fax: (217) 222-8578 |
| Administrative Mailing Address | 1707 N 12TH ST, QUINCY, IL, 62301-1355 |
| Enumeration & Last Sync | Enumerated: 2007-12-21 | CMS Record Updated: 2014-08-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TERESA A ALLENSWORTH, CNP)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: IL | License: 209006688 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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