Jessica L Grossman, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1151301 Issued in TX

Practice address

4910 Golden Quail Ste 100
San Antonio, TX 78240-1769

Phone

(210) 615-8495

NPI assigned

Feb 15, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Artery and Vein Specialists of America, PLLC

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
  • NPI 1194340539
  Medicare reassignment NPD
• Dr David N Lopez MD PA

  dba Family Care Clinic

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1275702508
  NPD
• Gebito Medical

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1154061703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1033974365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401769",
            "telephone_number": "210-615-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401769",
            "telephone_number": "210-615-8495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 E Amber St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782212456",
            "country_code": "US",
            "telephone_number": "210-660-5040",
            "fax_number": "210-660-5045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Amber St Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782212403",
            "country_code": "US",
            "telephone_number": "210-660-5040",
            "fax_number": "210-660-5045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1151301",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1151301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Louise Gross, LCSW
• Sarah Haley Gross, MD
• Sheldon G. Gross, MD
• Kate Marie Grosse
• Alexandra Emily Grossman
• Jordan Grossman, BCBA
• Bonnita Inez Grossnickle, OTA
• Jorge Mogyoros Grosz, MD
• Laura Grota, NP-C
• Philip A Grota, LCSW

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.