Kasey Dawn Gross, CRNP | NPI 1992944607

Key facts

NPI: 1992944607
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 1-091953 (AL)
Practice address: 425 5TH Ave NW
Attalla, AL 35954-2214
Phone: (256) 492-7800
Fax: (256) 494-5536
NPI assigned: Feb 19, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Etowah Dekalb Cherokee Mental Health Board, Inc Community/Behavioral Health Agency · Attalla, AL · NPI 1326175795

Medicare reassignment Care Compare group NPD AL · FAMILY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Floyd Cherokee Medical Center LLC General Acute Care Hospital · Centre, AL · NPI 1962999664

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Etowah Dekalb Cherokee Mental Health Board, Inc (4 clinicians)

Practice addresses (Care Compare)

425 5TH Ave NW
Attalla, AL 35954-2214
Phone (256) 492-7800

Hospital & facility affiliations

Floyd Cherokee Medical Center Hospital · Centre, AL · CCN 010022

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220622002316	AL	Practitioner - Nurse Practitioner	8325427347	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1-091953	AL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Etowah Dekalb Cherokee Mental Health Board, Inc	Family	Current since Apr 5, 2022	Accepting new patients

Locations

425 5th Ave NW
Attalla, AL 35954
Phone (256) 492-7800

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	1-091953	AL
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	1-091953	AL	Yes

Addresses

Primary practice location

425 5TH Ave NW
Attalla, AL 35954-2214

Mailing address

425 5TH Ave NW
Attalla, AL 35954-2214
Phone (256) 492-7800

Other names

Kasey Dawn Gross Vickery Former name

Other providers in Attalla, AL

All providers in Attalla, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.