Individual provider Active NPI

Colleen Ann Gross, ARNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1164807582
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9407011 Issued in FL
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

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
JV402OtherFLBCBS

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9407011FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Florida, LLC Nurse Practitioner CurrentSince Jun 5, 2020 Accepting new patients
VG Primary Care PLLC CurrentSince Jun 15, 2021 Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Jun 5, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.