CMS-1500 Box 24J / 33a • NPI
1144411927
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
112 SAINT OLAF AVE S, CANBY, MN, 56220-1433
✓ 9-Digit EDI 837 ZIP+4 (56220-1433)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1144411927 (HOLLY L GISI-YORK, 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 #1144411927)
Medicare Beneficiaries
256
Total Billed Services
492
Distinct CPT/HCPCS Codes
33
Medicare Allowed Total
$31,062.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 19 |
81003 | Automated urinalysis test | 14 |
87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 42 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 50 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 17 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 |
99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 42 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 65 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 18 | 13 |
| Amoxicillin Amoxicillin | 37 | 36 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 36 | 34 |
| Azithromycin Azithromycin | 32 | 31 |
| Cephalexin Cephalexin | 53 | 51 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 19 | 18 |
| Doxycycline Hyclate Doxycycline Hyclate | 50 | 42 |
| Fluconazole Fluconazole | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1144411927 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HOLLY L GISI-YORK, 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 | 112 SAINT OLAF AVE S, CANBY, MN, 56220-1433 |
| Practice Telephone / Fax | Tel: (507) 223-7277 | Fax: (605) 884-4300 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2007-08-06 | CMS Record Updated: 2024-06-19 |
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 (HOLLY L GISI-YORK, 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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MN | License: 656 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: SD | License: 0504 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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