BUKOLA GROSS
NPI 1003211566
Nurse Practitioner - Family in Victorville, CA

Active since October 27, 2014PECOS EnrolledAccepts Medicare Assignment
13010 HESPERIA RD STE 501, VICTORVILLE, CA 92395(760) 881-3717 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Jun 3, 2020 (2 updates tracked since 2020).

About Bukola Gross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUKOLA GROSS (NPI 1003211566) is an individual family provider in Victorville, California, licensed in California (NP95001547) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1003211566
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBUKOLA GROSS
Location Address13010 HESPERIA RD STE 501Victorville, CA 92395-8315
Mailing Address19111 Town Center DrApple Valley, CA 92308-8989 · (760) 242-7777
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateOctober 27, 2014
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
NPI 1003211566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95001547
13010 HESPERIA RD STE 501, Victorville, CA 92395

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bukola Gross is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981905494
PECOS Enrollment IDI20151228001880
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$86.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
13010 HESPERIA RD STE 501
VICTORVILLE, CA 92395
Family Medicine (Sports Medicine)
13010 HESPERIA RD STE 501
VICTORVILLE, CA 92395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bukola Gross's NPI number?

The NPI number for Bukola Gross is 1003211566. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Bukola Gross located?

Bukola Gross practices at 13010 Hesperia Rd Ste 501, Victorville, CA 92395. The listed phone number is (760) 881-3717.

What is Bukola Gross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bukola Gross enrolled in Medicare?

Yes. Bukola Gross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bukola Gross was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.