CMS-1500 Box 24J / 33a • NPI
1023398971
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
700 WEST AVE S, LA CROSSE, WI, 54601-4783
✓ 9-Digit EDI 837 ZIP+4 (54601-4783)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023398971 (KATHLEEN MARIE GRANGAARD, FNP) 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 #1023398971)
Medicare Beneficiaries
248
Total Billed Services
289
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$17,869.74
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 123 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 110 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 31 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 17 | 17 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 24 | 24 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 35 | 35 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 21 | 21 |
| Prednisone Prednisone | 57 | 57 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023398971 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATHLEEN MARIE GRANGAARD, FNP |
| 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 | 700 WEST AVE S, LA CROSSE, WI, 54601-4783 |
| Practice Telephone / Fax | Tel: (608) 785-0940 |
| Administrative Mailing Address | PO BOX 1510, EAU CLAIRE, WI, 54702-1510 |
| Enumeration & Last Sync | Enumerated: 2011-08-24 | CMS Record Updated: 2020-09-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LA CROSSE
🔒 Are you KATHLEEN MARIE GRANGAARD, FNP? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
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 (KATHLEEN MARIE GRANGAARD, FNP)
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: MN | License: 1682773 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: MN | License: 6104 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: IA | License: A106975 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: WI | License: 5094 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.