Individual provider Active NPI

Amber S Gross, NP-PP

  • Family Nurse Practitioner
  • Newport, OR
National Provider Identifier
1669701736
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201500367NP-PP Issued in OR
Practice address
1010 SW Coast Hwy
Newport, OR 97365-5288
Phone
(541) 265-0445
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006255 KY
Family Nurse Practitioner 363LF0000X 201500367NP-PP OR Primary

Addresses

Primary practice location

1010 SW Coast Hwy
Newport, OR 97365-5288

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other practice location 1

3780 SE Spy Glass Ridge Dr
Lincoln City, OR 97367-1939
Phone (541) 996-2311

Other practice location 2

322 NE Eads St
Newport, OR 97365-2819
Phone (541) 574-5960

Other practice location 3

1800 NE Sturdevant Rd
Toledo, OR 97391-2413
Phone (541) 996-2311

Other practice location 4

3000 S Crestline Dr
Waldport, OR 97394-9739
Phone (541) 563-7666

Other practice location 5

4422 NE Devils Lake Blvd
Suite 2
Lincoln City, OR 97367-5000
Phone (541) 265-4947

Other identifiers 4

IdentifierTypeStateIssuer
201500366RNOtherORRN
F1009203OtherORAANP
201500367NP-PPOtherORNP-PP
500682364MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20161018001506 OR Practitioner - Nurse Practitioner 1254455439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onepeak Southern Oregon PC 25 clinicians

Practice addresses (Care Compare)

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 890-5217

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006255KYMDFamily Nurse Practitioner
201500367NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onepeak Southern Oregon PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2655 Siskiyou Blvd
Medford, OR 97504
Phone (541) 304-8008

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Interoperability endpoints

  • Direct secure messaging: amber.gross.p1@direct.opm.nextgenshare.com

Organizations & group practices 1

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": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1669701736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "541-574-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655288",
            "telephone_number": "541-265-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 SE Spy Glass Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973671939",
            "country_code": "US",
            "telephone_number": "541-996-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 NE Eads St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973652819",
            "country_code": "US",
            "telephone_number": "541-574-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 NE Sturdevant Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OR",
            "postal_code": "973912413",
            "country_code": "US",
            "telephone_number": "541-996-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S CRESTLINE DR",
            "address_purpose": "LOCATION",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973949739",
            "country_code": "US",
            "telephone_number": "541-563-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 NE Devils Lake Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675000",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "fax_number": "541-994-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "AMBER",
        "middle_name": "S",
        "credential": "NP-PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201500367NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "201500366RN",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F1009203",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP-PP",
            "identifier": "201500367NP-PP",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500682364",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.