Individual provider Active NPI

Katharina Gross, FNP-C

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1487423356
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
873972 Issued in NV
Practice address
3650 Mayberry Dr Ste 102
Reno, NV 89509-2131
Phone
(775) 881-8189
Fax
(775) 964-6937
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 873972 NV Primary

Addresses

Primary practice location

3650 Mayberry Dr Ste 102
Reno, NV 89509-2131

Mailing address

2343 Rock Blvd
Sparks, NV 89431-2056
Phone (912) 492-9608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250721003741 NV Practitioner - Nurse Practitioner 7012423627 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Hydration and Wellness PC Single Specialty Current Accepting new patients
Simple Care, LLC Single Specialty CurrentSince Jun 9, 2024 Accepting new patients

Locations

3650 Mayberry Dr
Ste 102
Reno, NV 89509
Phone (775) 881-8189

Organizations & group practices 2

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": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1487423356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 ROCK BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312056",
            "telephone_number": "912-492-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MAYBERRY DR STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092131",
            "telephone_number": "775-881-8189",
            "fax_number": "775-964-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KATHARINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "873972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.