81ST MEDGRP-KEESLER — NPI 1710967526 (Licensed & Credentialed Hospitals

CMS-1500 Box 24J / 33a • NPI

1710967526

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

286500000X (CMS A0[7])

Licensed & Credentialed Hospitals — Military Hospital

Box 32 Service Location & ZIP+4

301 FISHER ST, STE 101 RM 1A132, KEESLER AFB, MS, 39534-2508

✓ 9-Digit EDI 837 ZIP+4 (39534-2508)

Practice Phone & Referral Fax

(228) 377-4526

Fax: (228) 377-4559

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710967526 (81ST MEDGRP-KEESLER) 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	`1710967526` (NPI-2 Organization / Facility)
Provider / Legal Name	81ST MEDGRP-KEESLER
Plain-English Specialty	Licensed & Credentialed Hospitals — Military Hospital NUCC Code: `286500000X` (Military Hospital)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	301 FISHER ST, STE 101 RM 1A132, KEESLER AFB, MS, 39534-2508
Practice Telephone / Fax	Tel: (228) 377-4526 \| Fax: (228) 377-4559
Administrative Mailing Address	301 FISHER ST, KEESLER AFB, MS, 39534-2508
Enumeration & Last Sync	Enumerated: 2006-01-18 \| CMS Record Updated: 2025-06-17
Authorized Official	JEN LEWANDOWSKI (DHA UBO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

301 FISHER ST, STE 101 RM 1A132, KEESLER AFB, MS, 39534-2508

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Plain-English Taxonomy & CMS Crosswalk (286500000X)

What Does Taxonomy Code 286500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 286500000X translates to:
"Licensed & Credentialed Hospitals — Military Hospital"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospitals)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Military Hospital for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (81ST MEDGRP-KEESLER)

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
`332000000X` — MilitaryU.S. Coast Guard Pharmacy Plain English: Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1101X` — Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1100X` — Clinic/Center, MilitaryU.S. Coast Guard Outpatient Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`286500000X` — Military Hospital Plain English: Licensed & Credentialed Hospitals — Military Hospital	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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81ST MEDGRP-KEESLER (NPI #1710967526)