Individual provider Active NPI

Andrew Grossman, ARNP

  • Adult Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1134483266
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60282819 Issued in WA
Practice address
5223 Kensington PL N
Seattle, WA 98103-6225
Phone
(206) 498-0453
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60282819 WA Primary

Addresses

Primary practice location

5223 Kensington PL N
Seattle, WA 98103-6225

Mailing address

5223 Kensington PL N
Seattle, WA 98103-6225
Phone (206) 498-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20121011000903 WA Practitioner - Nurse Practitioner 4789833484 Reassigns benefits to 3 organizations
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Care PLLC CurrentSince Jun 4, 2025 Accepting new patients
Optimus Senior Health Consultants, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Seattle Roots Community Health CurrentSince Nov 15, 2019 Accepting new patients
Seattle Roots Community Health CurrentSince Nov 15, 2019 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Past Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

Interoperability endpoints

  • Direct secure messaging: agrossman293604@direct.ochin.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1134483266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 KENSINGTON PL N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036225",
            "telephone_number": "206-498-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 KENSINGTON PL N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036225",
            "telephone_number": "206-498-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ANDREW",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60282819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.