ADJUVANTAGE SURGICAL ASSIST INC. — NPI 1477892883 (Licensed & Credentialed Registered Nurse, Medical-Surgical in ROWLETT, TX)

CMS-1500 Box 24J / 33a • NPI

1477892883

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163WM0705X

Licensed & Credentialed Registered Nurse, Medical-Surgical

Box 32 Service Location & ZIP+4

3314 STRAITS CT, ROWLETT, TX, 75088-8336

✓ 9-Digit EDI 837 ZIP+4 (75088-8336)

Practice Phone & Referral Fax

(214) 227-2457

Fax: (214) 764-0880

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477892883 (ADJUVANTAGE SURGICAL ASSIST INC.) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477892883` (NPI-2 Organization / Facility)
Provider / Legal Name	ADJUVANTAGE SURGICAL ASSIST INC.
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Medical-Surgical NUCC Code: `163WM0705X` (Registered Nurse, Medical-Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3314 STRAITS CT, ROWLETT, TX, 75088-8336
Practice Telephone / Fax	Tel: (214) 227-2457 \| Fax: (214) 764-0880
Administrative Mailing Address	3314 STRAITS CT, ROWLETT, TX, 75088-8336
Enumeration & Last Sync	Enumerated: 2013-02-05 \| CMS Record Updated: 2013-02-05
Authorized Official	ALISHA BRAY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3314 STRAITS CT, ROWLETT, TX, 75088-8336

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Plain-English Taxonomy & CMS Crosswalk (163WM0705X)

What Does Taxonomy Code 163WM0705X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WM0705X translates to:
"Licensed & Credentialed Registered Nurse, Medical-Surgical"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Medical-Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADJUVANTAGE SURGICAL ASSIST INC.)

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

Common Therapeutic Classes:

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
`163WM0705X` — Registered Nurse, Medical-Surgical Plain English: Licensed & Credentialed Registered Nurse, Medical-Surgical	State: TX \| License: `747191` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADJUVANTAGE SURGICAL ASSIST INC. (NPI #1477892883)