CMS-1500 Box 24J / 33a • NPI
1619479821
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2100X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care
Box 32 Service Location & ZIP+4
6027 WALNUT GROVE RD STE 312, MEMPHIS, TN, 38120-2128
✓ 9-Digit EDI 837 ZIP+4 (38120-2128)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619479821 (KATRINA LYNN GATES, ACNP) 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 #1619479821)
Medicare Beneficiaries
278
Total Billed Services
524
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$26,762.95
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
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 | 62 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 58 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 134 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 29 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 |
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 | 94 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Clopidogrel Clopidogrel Bisulfate | 23 | <11 |
| Eliquis Apixaban | 55 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619479821 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATRINA LYNN GATES, ACNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: 363LA2100X (Nurse Practitioner, Acute Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6027 WALNUT GROVE RD STE 312, MEMPHIS, TN, 38120-2128 |
| Practice Telephone / Fax | Tel: (901) 681-0778 |
| Administrative Mailing Address | 136 MOCKINGBIRD LN, RIPLEY, MS, 38663-1143 |
| Enumeration & Last Sync | Enumerated: 2018-03-03 | CMS Record Updated: 2018-03-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)
What Does Taxonomy Code 363LA2100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATRINA LYNN GATES, ACNP)
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 |
|---|---|
363LA2100X — Nurse Practitioner, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care | State: MS | License: 902438 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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