Staci H Gross, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053608 Issued in PA

Practice address

2494 Bernville Rd
Suite 203
Reading, PA 19605-9469

Phone

(610) 378-2499

Fax

(610) 378-2989

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score

79.31 of 100Reported as group

Quality

55.01

Promoting interoperability

99

Improvement activities

40

Cost

76.86

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• St. Joseph Medical Group

  • Family Medicine Physician
  • Reading, PA
  • NPI 1184754657
  Medicare reassignment Care Compare group NPD

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

• St Joseph Regional Health Network

  • General Acute Care Hospital
  • Reading, PA
  • NPI 1699734665
  Care Compare affiliation

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1154571305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD",
            "address_2": "SUITE 203",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059469",
            "telephone_number": "610-378-2499",
            "fax_number": "610-378-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD",
            "address_2": "SUITE 203",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059469",
            "telephone_number": "610-378-2499",
            "fax_number": "610-378-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "STACI",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grillo, PA-S
• Brian Edward Grogesky
• Diana Marie Grogesky, A.T.,C
• Mary Jill Grogg, M.S.,C.C.C.,S.L.P.
• Lawrence Gross, MD
• Robin Diane Gruber, MS SPECIAL EDUCATION
• Shirley Ann Grumbine
• Zaida E Guadalupe, LPC
• Terry Ann Gubitosi, MD
• Leonor Maribel Guerra

• Medical Physician Assistant in Reading, PA
• Providers in Reading, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.

Verify at the official NPI Registry.