CMS-1500 Box 24J / 33a • NPI
1821859455
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
281 LAUREL VALLEY RD, MARS HILL, NC, 28754-6787
✓ 9-Digit EDI 837 ZIP+4 (28754-6787)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821859455 (COLLABORATIVE HEALTH PARTNERSHIP) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821859455 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COLLABORATIVE HEALTH PARTNERSHIP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 281 LAUREL VALLEY RD, MARS HILL, NC, 28754-6787 |
| Practice Telephone / Fax | Tel: (828) 551-2389 | Fax: (207) 419-6302 |
| Administrative Mailing Address | 281 LAUREL VALLEY RD, MARS HILL, NC, 28754-6787 |
| Enumeration & Last Sync | Enumerated: 2024-01-22 | CMS Record Updated: 2024-01-22 |
| Authorized Official | AMY BEANE (Authorized Official) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COLLABORATIVE HEALTH PARTNERSHIP)
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 |
|---|---|
133V00000X — Dietitian, RegisteredPlain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered | State: N/A | License: Verified | Primary: Secondary |
163WD0400X — Registered Nurse, Diabetes EducatorPlain English: Licensed & Credentialed Registered Nurse, Diabetes Educator | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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