Individual provider Active NPI

Julia M Gross, FNP

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1114271970
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337658 Issued in NY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002504 NY Practitioner - Nurse Practitioner 2860705753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

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

LicenseStateTypeSpecialty
337658NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emily T. Etzkorn, M.D., P.C. CurrentSince May 28, 2015 Accepting new patients
Julia Gross Family Health Nurse Practitioner, PLLC CurrentSince Dec 10, 2021 Accepting new patients
Emily T. Etzkorn, MD, PC PastSince May 28, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.