Individual provider Active NPI

Joanna Catherine Grosskopf, FNP

  • Family Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1902438039
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345394 Issued in NY
Practice address
18 Limestone Dr Ste 5
Williamsville, NY 14221-8602
Phone
(716) 632-1400
Fax
(716) 691-3404
NPI assigned
Feb 6, 2020
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 345394 NY Primary

Addresses

Primary practice location

18 Limestone Dr Ste 5
Williamsville, NY 14221-8602

Mailing address

18 Limestone Dr Ste 5
Williamsville, NY 14221-8602
Phone (716) 632-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcross@tonawandapediatrics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201109002447 NY Practitioner - Nurse Practitioner 6002226701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jan 19, 2024 Accepting new patients
Tonawanda Pediatrics LLP PastSince Feb 9, 2020 Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

3950 E Robinson Rd
Ste 205
West Amherst, NY 14228
Phone (716) 691-3400

18 Limestone Dr
Ste 5
Williamsville, NY 14221
Phone (716) 626-7415

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1902438039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-691-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-691-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSKOPF",
        "first_name": "JOANNA",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcross@tonawandapediatrics.com",
            "affiliation": "N",
            "address_1": "3950 E Robinson Rd Ste 205",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142282044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.