Individual provider Active NPI

Kylie Ann Gross

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1821638727
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
115153 Issued in OK
Practice address
9600 Broadway Ext Ste B103
Oklahoma City, OK 73114-7408
Phone
(405) 715-3610
Fax
(405) 715-3612
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 115153 OK Primary

Addresses

Primary practice location

9600 Broadway Ext Ste B103
Oklahoma City, OK 73114-7408

Mailing address

PO Box 13618
Oklahoma City, OK 73113-1618

Other names 1

  • Kylie Ann Castonguay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212002411 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729414685 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3101 W Tecumseh Rd
100 W Norm Endos
Norman, OK 73072-1816
Phone (405) 515-5900

9600 Broadway Ext
McBride Orthopedic Hospital
Oklahoma City, OK 73114-7408
Phone (405) 486-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
81.07
Promoting interoperability
86
Improvement activities
40
Cost
69.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
115153OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Crna PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2023 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Sep 1, 2025 Accepting new patients
McBride Clinic Orthopedic Hospital, LLC CurrentSince Sep 1, 2024 Accepting new patients
Goodnight Moon Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 28, 2024 Accepting new patients
Anesthesia Specialists of Oklahoma LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2026 Accepting new patients

Locations

3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

419 W Gray St
Norman, OK 73069
Phone (405) 329-7300

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

9600 Broadway Ext
Ste B103
Oklahoma City, OK 73114
Phone (405) 715-3610

9801 N Oklahoma Ave
Oklahoma City, OK 73114
Phone (405) 230-9800

3902 S 113th West Ave
Sand Springs, OK 74063
Phone (918) 245-5800

8803 S 101st East Ave
Tulsa, OK 74133
Phone (918) 250-2033

1600 Garth Brooks Blvd
Ste 150
Yukon, OK 73099
Phone (405) 227-0054

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1821638727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13618",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731131618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT STE B103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-715-3610",
            "fax_number": "405-715-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KYLIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "115153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "CASTONGUAY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.