Individual provider Active NPI

Melissa Gross

  • Family Nurse Practitioner
  • Bala Cynwyd, PA
National Provider Identifier
1740675008
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014022432 Issued in PA
Practice address
301 E City Line Ave Ste 140
Bala Cynwyd, PA 19004-1714
Phone
(610) 660-0777
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 2014022432 PA Primary

Addresses

Primary practice location

301 E City Line Ave Ste 140
Bala Cynwyd, PA 19004-1714

Mailing address

76 S Forge Manor Dr
Phoenixville, PA 19460-2702
Phone (215) 570-7690

Other names 1

  • Miss Melissa Sophia Prousi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150611002188 PA Practitioner - Nurse Practitioner 6305167669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

495 Thomas Jones Way
100 Primary Care Exton
Exton, PA 19341-2553
Phone (610) 524-4106

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014022432PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Mar 27, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Allergy and Asthma Specialty Physicians, LLC CurrentSince Mar 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 27, 2023 Accepting new patients

Locations

204 Ark Rd
Ste 103B
Mount Laurel, NJ 08054

301 E City Line Ave
Ste 140
Bala Cynwyd, PA 19004
Phone (610) 660-0777

495 Thomas Jones Way
Ste 100
Exton, PA 19341
Phone (610) 524-4106

822 Pine St
Ste 1D
Philadelphia, PA 19107
Phone (215) 922-5080

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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 4

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1740675008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S FORGE MANOR DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602702",
            "telephone_number": "215-570-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE STE 140",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041714",
            "telephone_number": "610-660-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "2014022432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PROUSI",
            "middle_name": "SOPHIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.