Individual provider Active NPI

Erin Grosslight, ACNP

  • Acute Care Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1518330281
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
67025 Issued in ID
Practice address
520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Phone
(208) 381-6930
Fax
(208) 381-6931
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 955002860 CA
Acute Care Nurse Practitioner 363LA2100X 95002860 CA
Acute Care Nurse Practitioner 363LA2100X 67025 ID Primary

Addresses

Primary practice location

520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

369 E 20th St
Costa Mesa, CA 92627-2326
Phone (949) 929-5313

Other practice location 2

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 480-8835

Other names 1

  • Erin Catherine Burns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20210609002036 ID Practitioner - Nurse Practitioner 4981974672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

520 S Eagle Rd
Suite 1241
Meridian, ID 83642-6355
Phone (208) 288-2255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
955002860CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T-Medica Mobil Anesthesia Inc. CurrentSince Apr 17, 2022 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Surgery CurrentSince Sep 29, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Sep 29, 2023 Accepting new patients
OB-GYN Associates, PA CurrentSince Jul 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2021 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

999 N Curtis Rd
Ste 415
Boise, ID 83706
Phone (208) 302-2600

100 E Warm Springs Ave
#B
Boise, ID 83712
Phone (208) 381-6930

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255

3520 E Louise Dr
Meridian, ID 83642
Phone (208) 454-2035

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

9850 W St Lukes Dr
Ste 260
Nampa, ID 83687
Phone (208) 381-3915

9850 W St Lukes Dr
#221
Nampa, ID 83687
Phone (208) 455-1784

Organizations & group practices 7

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 3

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1518330281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD STE 1241",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426355",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272326",
            "country_code": "US",
            "telephone_number": "949-929-5313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-480-8835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSLIGHT",
        "first_name": "ERIN",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "955002860",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95002860",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "67025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BURNS",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.