Individual provider Active NPI

Mary Elizabeth Gross, ACNP

  • Acute Care Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1952646861
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R168153 Issued in MD
Practice address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone
(410) 787-4000
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R168153 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

214 E Barney St
Baltimore, MD 21230-4903

Other names 1

  • Mary Sykes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130215000421 MD Practitioner - Nurse Practitioner 0345494571 Reassigns benefits to 3 organizations
I20240923004169 DE Practitioner - Nurse Practitioner 0345494571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

701 Middleford Rd
Seaford, DE 19973-3600
Phone (302) 628-6344

801 Middleford Rd
Seaford, DE 19973-3636
Phone 30262966118802

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Medical Center, Inc. CurrentSince Jan 16, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
State of Delaware-Stockley CurrentSince Jul 12, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Beebe Physician Network Inc. CurrentSince Jul 12, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Dec 2, 2024 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

18947 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 645-3010

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

701 Middleford Rd
Seaford, DE 19973
Phone (302) 628-6344

11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

3304 Hayman Dr
Federalsburg, MD 21632
Phone (410) 754-2400

305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897

305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1952646861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E BARNEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R168153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SYKES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.