Avery Grossman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F01240778 Issued in CO

Practice address

4524 Decatur St
Denver, CO 80211-1439

Phone

(914) 672-2600

NPI assigned

Jan 29, 2024

Sex

Female

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 CO

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

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: avery.grossman.1@18112.direct.athenahealth.com

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.

• Inner City Health Center

  • Federally Qualified Health Center (FQHC)
  • Wheat Ridge, CO
  • NPI 1013491208
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1295597706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 DECATUR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111439",
            "telephone_number": "914-672-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 DECATUR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111439",
            "telephone_number": "914-672-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "AVERY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "F01240778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Gross, LCSW
• Jane E Gross, MD
• Mario Gross, LSW, MSW, M.DIV
• Sophie Anne Gross, BS, MSM, CPRP
• Teresa S Gross, M.D.
• Dominique Aida Grossman, OTR/L
• Gregory Bennett Grossman, DDS
• John A Grossman, M.D.
• Joseph Leon Grossman, LCSW
• Rachel Grossman

• Family Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.