Active NPI
Kristina M Gross, RN, CNP
- Family Nurse Practitioner
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R-1401585
- Practice address
- 720 4TH Ave S
Saint Cloud, MN 56301-4442 - Phone
- (320) 308-3193
- Fax
- (320) 308-3192
- NPI assigned
- Jun 29, 2012
- Last updated
- Feb 22, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R-1401585 | MN | Primary |
Addresses
Primary practice location
720 4TH Ave S
Saint Cloud, MN 56301-4442
Mailing address
720 4TH Ave S
Saint Cloud, MN 56301-4498
Phone (320) 308-3193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1406 6TH N Ave
Saint Cloud, MN 56303-1900
Phone (320) 255-5619
1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-1401585 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Cloud Pathologists PA | Current | Accepting new patients | |
| Regional Diagnostic Radiology | Current | Accepting new patients | |
| Central Imaging LLC | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1555 Northway Dr
#H
Saint Cloud, MN 56303
Phone (320) 240-3157
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530
1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595
1990 Connecticut Ave S
Ste 100
Sartell, MN 56377
Phone (202) 575-5953
Interoperability endpoints
- kgross33811@direct.centracare.com
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Sartell, MN
- NPI 1417935321
-
dba Alliance Imaging
- Diagnostic Radiology Physician
- Saint Cloud, MN
- NPI 1457967234
-
- Clinical Pathology/Laboratory Medicine Physician
- Saint Cloud, MN
- NPI 1396717633
-
dba Centra Care Family Health Center
- Clinic/Center
- Saint Cloud, MN
- NPI 1770532426
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St Cloud Hospital Behavioral Health - Sartell
- Mental Health Counselor
- Sartell, MN
- NPI 1083161814
Hospital
-
dba Recovery Plus Adult Program-St Cloud Hospital
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
dba CentraCare Wound Center
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1326302795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 4TH AVE S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014498",
"telephone_number": "320-308-3193",
"fax_number": "320-308-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 4TH AVE S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014442",
"telephone_number": "320-308-3193",
"fax_number": "320-308-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "KRISTINA",
"middle_name": "M",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R-1401585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.