Individual provider Active NPI

Kimberly Gross, NP

  • Family Nurse Practitioner
  • Milford, DE
National Provider Identifier
1477308898
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012737 Issued in DE
Practice address
700 Marvel Rd
Milford, DE 19963-1740
Phone
(855) 669-4788
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 LG-0012737 DE Primary

Addresses

Primary practice location

700 Marvel Rd
Milford, DE 19963-1740

Mailing address

1333 Darling Dr
Middletown, DE 19709-8508
Phone (302) 220-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240523001481 DE Practitioner - Nurse Practitioner 6305288291 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
De Pacs 2 PA CurrentSince May 28, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Dover Chiropractic and Rehabilitation, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince May 28, 2024 Accepting new patients

Locations

222 S DuPont Hwy
Ste 203
Dover, DE 19901
Phone (302) 744-8650

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

700 Marvel Rd
Milford, DE 19963
Phone (302) 422-3303

1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

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.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1477308898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 DARLING DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098508",
            "telephone_number": "302-220-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARVEL RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631740",
            "telephone_number": "855-669-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.