Matthew Gross, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001253 Issued in SD

Practice address

4150 5TH St
Rapid City, SD 57701-6022

Phone

(605) 755-4300

NPI assigned

Aug 17, 2017

Sex

Male

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 SD

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

Certified Nurse Practitioner, 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 and National Provider Directory roles.

• Monument Health Network, Inc.

  • Multi-Specialty Clinic/Center
  • Hot Springs, SD
  • NPI 1588185268
  Medicare reassignment NPD
• Monument Health Rapid City Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Monument Health Network, Inc.

  • Family Medicine Physician
  • Custer, SD
  • NPI 1427243963
  NPD
• Monument Health Network, Inc.

  • Multi-Specialty Clinic/Center
  • Sturgis, SD
  • NPI 1841706686
  NPD
• Monument Health Rapid City Hospital Inc

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Rapid City Regional Hospital Inc

  • Home Health Agency
  • Rapid City, SD
  • NPI 1053388793
  NPD
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  NPD (past)
• Queen City Regional Medical Clinic

  • Physician Assistant
  • Spearfish, SD
  • NPI 1326224627
  NPD (past)

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154847481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SITKA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016022",
            "telephone_number": "605-755-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "605-755-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Grimes, PT
• Julia Grimshaw, MSW, CSW
• Mikayla Grinnell, CF-SLP
• Curtis Arthur Groote, M.D.
• Chelsey Groseclose, LPC-MH
• Tanya Rae Gross, OTR
• Grounded Growth Counseling, PLLC
• Eric Grover
• Gregory S Gruba, DC
• Abbie M Gruda, DPT

• Family Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.