Active NPI
Kylie Ann Gross
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 115153
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 115153 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Crna PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norman Regional Providers Specialty Care | Current | Accepting new patients | |
| McBride Clinic Orthopedic Hospital, LLC | Current | Accepting new patients | |
| Goodnight Moon Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Specialists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- Surgery Physician
- Norman, OK
- NPI 1548513773
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1801252952
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Yukon, OK
- NPI 1730649716
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Broken Arrow, OK
- NPI 1265899405
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
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.