Individual provider Active NPI

Victoria Kae Gross, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1477221968
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015826 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-7001
Phone
(859) 323-6047
Fax
(859) 257-3873
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 3015826 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-7001

Mailing address

220 Lakeside Drive
Apt, Suite, Floor, Etc.
Georgetown, KY 40324
Phone (937) 371-9233

Other practice location 1

220 Lakeside Drive
Apt, suite, floor, etc.
Georgetown, KY 40324
Phone (937) 371-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220505002419 KY Practitioner - Nurse Practitioner 1052798352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mso LLC 53 clinicians

Practice addresses (Care Compare)

1138 Lexington Rd
Suite 230
Georgetown, KY 40324-9672
Phone (502) 570-3706

Hospital & facility affiliations

  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3015826KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC Family CurrentSince Apr 1, 2024 Accepting new patients
University of Kentucky CurrentSince May 1, 2022 Accepting new patients
Kentucky Mso LLC CurrentSince Apr 1, 2024 Accepting new patients
Kentucky Mso LLC Past Accepting new patients

Locations

1138 Lexington Rd
Ste 230
Georgetown, KY 40324
Phone (502) 867-3303

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Interoperability endpoints

  • Direct secure messaging: victoria.gross.1@19475.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1477221968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAKESIDE DRIVE",
            "address_2": "APT, SUITE, FLOOR, ETC.",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "937-371-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-6047",
            "fax_number": "859-257-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Lakeside Drive",
            "address_2": "Apt, suite, floor, etc.",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "40324",
            "country_code": "US",
            "telephone_number": "937-371-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "VICTORIA",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.