"HEMOSTASIS OASIS" — NPI 1871897769 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care in WINSTON SALEM, NC)

CMS-1500 Box 24J / 33a • NPI

1871897769

Type 2 Organization (Box 32a/33a)

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

764 INVERNESS DR, WINSTON SALEM, NC, 27107-6075

✓ 9-Digit EDI 837 ZIP+4 (27107-6075)

Practice Phone & Referral Fax

(336) 414-3337

Fax: (336) 245-8366

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871897769 ("HEMOSTASIS OASIS") 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	`1871897769` (NPI-2 Organization / Facility)
Provider / Legal Name	"HEMOSTASIS OASIS"
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	764 INVERNESS DR, WINSTON SALEM, NC, 27107-6075
Practice Telephone / Fax	Tel: (336) 414-3337 \| Fax: (336) 245-8366
Administrative Mailing Address	764 INVERNESS DR, WINSTON SALEM, NC, 27107-6075
Enumeration & Last Sync	Enumerated: 2011-01-06 \| CMS Record Updated: 2011-01-06
Authorized Official	DOROTHY KOZAR (Sole Proprietor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

764 INVERNESS DR, WINSTON SALEM, NC, 27107-6075

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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"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Acute Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care ("HEMOSTASIS OASIS")

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
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: NC \| License: `5002413` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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"HEMOSTASIS OASIS" (NPI #1871897769)