Individual provider Active NPI

Gloria Jean Krass, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1225469042
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN51634-FNP-BC Issued in WV
Practice address
1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932-1984
Phone
(865) 985-7029
Fax
(865) 560-7329
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN51634-FNP-BC WV Primary

Addresses

Primary practice location

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932-1984

Mailing address

175 Darnell Dr
Beaver, WV 25813-9663
Phone (304) 763-5427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20140203001692 WV Practitioner - Nurse Practitioner 0446489959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of West Virginia Welch Community HospitalGroup PAC ID 3375437585, shared by 2 NPIs, 12 clinicians
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

454 McDowell St
Welch, WV 24801-2029

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN51634-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Emergency Services, Inc. CurrentSince Dec 1, 2013 Accepting new patients

Locations

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1225469042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DARNELL DR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139663",
            "telephone_number": "304-763-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "865-985-7029",
            "fax_number": "865-560-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASS",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN51634-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.