Active NPI
Melissa Gross
- Family Nurse Practitioner
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014022432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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 of Univ of Pennsylvania
- Paoli Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014022432 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Associates of the University of Pennsylvania Health Syst | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Allergy and Asthma Specialty Physicians, LLC | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | 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.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
-
- Allergy & Immunology Physician
- Mount Laurel, NJ
- NPI 1417503368
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.