Active NPI
Alahna Elizabeth Gross, CNP
- Family Nurse Practitioner
- Mitchell, SD
National Provider Identifier
1366720864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001960
- Practice address
- 120 W 6TH Ave
Mitchell, SD 57301-1920 - Phone
- (605) 292-6262
- NPI assigned
- Aug 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R167908-8 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | AP60362419 | WA | |
| Family Nurse Practitioner | 363LF0000X | CP001960 | SD | Primary |
Addresses
Primary practice location
120 W 6TH Ave
Mitchell, SD 57301-1920
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 477-5149
Other practice location 1
2001 Nicollet Ave
Minneapolis, MN 55404-2527
Phone (612) 581-9374
Other practice location 2
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 477-5149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP001960 | Other | SD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325001073 | SD | Practitioner - Nurse Practitioner | 4183899172 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Sioux Falls, SD 57118-6370
PO Box
Suite 3100
Carbondale, IL 62902-3100
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167908-8 | MN | MD | Family Nurse Practitioner |
| CP001960 | SD | MD | Family Nurse Practitioner |
| AP60362419 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700
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.
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1366720864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-477-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 6TH AVE",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011920",
"telephone_number": "605-292-6262"
}
],
"practiceLocations": [
{
"address_1": "2001 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554042527",
"country_code": "US",
"telephone_number": "612-581-9374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-477-5149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSS",
"first_name": "ALAHNA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R167908-8",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP60362419",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CP001960",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.