Active NPI
Colleen Ann Gross, ARNP
- Nurse Practitioner
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9407011
- Practice address
- 11190 Health Park Blvd
Naples, FL 34110-5729 - Phone
- (239) 552-7235
- Fax
- (239) 552-7755
- NPI assigned
- Jul 27, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9407011 | FL | Primary |
Addresses
Primary practice location
11190 Health Park Blvd
Naples, FL 34110-5729
Mailing address
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JV402 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9407011 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Hospital Services of Florida, LLC | Nurse Practitioner | Current | Accepting new patients |
| VG Primary Care PLLC | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
5285 Summerlin Rd
Ste 101
Fort Myers, FL 33919
Phone (239) 281-4908
9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000
Interoperability endpoints
- ms_cgross18@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Nurse Practitioner
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Nurse Practitioner
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1003406851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1164807582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105729",
"telephone_number": "239-552-7235",
"fax_number": "239-552-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105729",
"telephone_number": "239-552-7235",
"fax_number": "239-552-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "COLLEEN",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9407011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "JV402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.