Individual provider Active NPI

Susan B Gross, FNP-BC

  • Family Nurse Practitioner
  • Sunnyside, WA
National Provider Identifier
1245536432
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60527025 Issued in WA
Practice address
617 Scoon Rd
Sunnyside, WA 98944-1031
Phone
(509) 837-8200
NPI assigned
Feb 4, 2011
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 AP60527025 WA Primary

Addresses

Primary practice location

617 Scoon Rd
Sunnyside, WA 98944-1031

Mailing address

10024 SE 240TH St Ste 201
Kent, WA 98031-5124
Phone (253) 859-2273

Other practice location 1

10024 SE 240th St Ste 201
Kent, WA 98031-5124
Phone (253) 859-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150415001706 WA Practitioner - Nurse Practitioner 2567780976 Reassigns benefits to 2 organizations
I20170331000658 OR Practitioner - Nurse Practitioner 2567780976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
MB2K LLCGroup PAC ID 5799707337, 3 clinicians

Practice addresses (Care Compare)

10024 SE 240TH St
Suite 201
Kent, WA 98031-5124
Phone (253) 859-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Community Health Center CurrentSince Jun 20, 2022 Accepting new patients
Sea Mar Community Health Centers CurrentSince Apr 1, 2024 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Jan 27, 2025 Accepting new patients
Icco LLC CurrentSince Jan 27, 2025 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Asher Community Health Center CurrentSince Jun 20, 2022 Accepting new patients
MB2K, LLC CurrentSince Aug 4, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

14434 Ambaum Blvd SW
Ste 5
Burien, WA 98166
Phone (206) 244-9482

10024 SE 240th St
Ste 201
Kent, WA 98031
Phone (253) 859-2273

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: sgross754448@direct.multicare.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1245536432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 SCOON RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441031",
            "telephone_number": "509-837-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10024 SE 240th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980315124",
            "country_code": "US",
            "telephone_number": "253-859-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60527025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.