Individual provider Active NPI

Kerryann Gross, CRNP

  • Family Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1912314535
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182057 Issued in MD
Practice address
7112 Darlington Dr
Parkville, MD 21234-7013
Phone
(410) 670-9063
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 R182057 MD Primary

Addresses

Primary practice location

7112 Darlington Dr
Parkville, MD 21234-7013

Mailing address

19 Donald Dr
Shrewsbury, PA 17361-1540
Phone (410) 419-1968

Other names 1

  • Kerryann Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150226002153 MD Practitioner - Nurse Practitioner 8729304209 Reassigns benefits to 2 organizations
I20201207000505 DC Practitioner - Nurse Practitioner 8729304209 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R182057MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evexia, LLC CurrentSince Dec 22, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Harford Gastroenterology Associates PA CurrentSince Sep 15, 2014 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

7112 Darlington Dr
Parkville, MD 21234
Phone (646) 238-0997

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1912314535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DONALD DR",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611540",
            "telephone_number": "410-419-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 DARLINGTON DR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212347013",
            "telephone_number": "410-670-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KERRYANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRYANN",
            "last_name": "ADAMS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.