CMS-1500 Box 24J / 33a • NPI
1396041539
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SX0200X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Oncology
Box 32 Service Location & ZIP+4
20 YORK ST, SMILOW CANCER HOSPITAL, BREAST CENTRE, NEW HAVEN, CT, 06510-3220
✓ 9-Digit EDI 837 ZIP+4 (06510-3220)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396041539 (GINEESHA A ABRAHAM, APRN) 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 #1396041539)
Medicare Beneficiaries
115
Total Billed Services
201
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$16,654.77
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 69 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alprazolam Alprazolam | 18 | <11 |
| Anastrozole Anastrozole | 259 | 83 |
| Clotrimazole Clotrimazole | 14 | <11 |
| Exemestane Exemestane | 29 | 14 |
| Gabapentin Gabapentin | 11 | <11 |
| Ibrance Palbociclib | 26 | <11 |
| Letrozole Letrozole | 59 | 19 |
| Tamoxifen Citrate Tamoxifen Citrate | 29 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396041539 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GINEESHA A ABRAHAM, APRN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Oncology NUCC Code: 364SX0200X (Clinical Nurse Specialist, Oncology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 20 YORK ST, SMILOW CANCER HOSPITAL, BREAST CENTRE, NEW HAVEN, CT, 06510-3220 |
| Practice Telephone / Fax | Tel: (203) 200-2328 |
| Administrative Mailing Address | 121 WARREN AVE, FAIRFIELD, CT, 06825-5427 |
| Enumeration & Last Sync | Enumerated: 2011-02-06 | CMS Record Updated: 2011-02-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (364SX0200X)
What Does Taxonomy Code 364SX0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SX0200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Oncology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GINEESHA A ABRAHAM, APRN)
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 |
|---|---|
364SX0200X — Clinical Nurse Specialist, OncologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Oncology | State: CT | License: 4596 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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