Individual provider Active NPI

Jessica Gross, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1376434027
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11040740 Issued in FL
Practice address
7623 Little Rd Ste 300B
New Port Richey, FL 34654-5570
Phone
(727) 910-5990
Fax
(727) 910-5992
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11040740 FL Primary

Addresses

Primary practice location

7623 Little Rd Ste 300B
New Port Richey, FL 34654-5570

Mailing address

4912 Marlin Dr
New Port Richey, FL 34652-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250729000884 FL Practitioner - Nurse Practitioner 2062929631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

11371 Cortez Blvd
Suite 210
Brooksville, FL 34613-5410
Phone (352) 616-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040740FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Current Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 17, 2025 Accepting new patients
Lehigh Acres BG Opco LLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: jessica.gross.1@13142.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1376434027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 MARLIN DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 LITTLE RD STE 300B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545570",
            "telephone_number": "727-910-5990",
            "fax_number": "727-910-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JESSICA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11040740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.