Active NPI
Julia M Gross, FNP
- Family Nurse Practitioner
- Clifton Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337658
- Practice address
- 954 Route 146
Clifton Park, NY 12065-3639 - Phone
- (518) 952-4000
- Fax
- (518) 280-3053
- NPI assigned
- Nov 1, 2012
- Last updated
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337658 | NY | Primary |
Addresses
Primary practice location
954 Route 146
Clifton Park, NY 12065-3639
Mailing address
954 Route 146
Clifton Park, NY 12065-3639
Phone (518) 952-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695
950 Route 146
Suite 100
Clifton Park, NY 12065-3667
954 Route 146
Clifton Park, NY 12065-3639
Phone (518) 952-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337658 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily T. Etzkorn, M.D., P.C. | Current | Accepting new patients | |
| Julia Gross Family Health Nurse Practitioner, PLLC | Current | Accepting new patients | |
| Emily T. Etzkorn, MD, PC | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
5010 State Highway 30
Ste G02
Amsterdam, NY 12010
Phone (518) 842-0017
950 Route 146
Ste 200
Clifton Park, NY 12065
Phone (518) 383-4273
954 Route 146
Clifton Park, NY 12065
Phone (518) 579-2500
Interoperability endpoints
- julia.gross.1@22591.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Clifton Park, NY
- NPI 1861099053
-
- Internal Medicine Physician
- Amsterdam, NY
- NPI 1396856530
-
- Rehabilitation Clinic/Center
- Hudson, NY
- NPI 1457026353
-
dba Community Care Family Medicine
- Family Medicine Physician
- Halfmoon, NY
- NPI 1770867103
-
- Family Medicine Physician
- Amsterdam, NY
- NPI 1730695552
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eddy Visiting Nurse Association
- Home Health Agency
- Troy, NY
- NPI 1114967924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1114271970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653639",
"telephone_number": "518-952-4000",
"fax_number": "518-280-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653639",
"telephone_number": "518-952-4000",
"fax_number": "518-280-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JULIA",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.