MRS. MALLORY WILLIAMS GROSE ANP-C
NPI 1093089575
Nurse Practitioner in Mount Airy, NC

Q: What is Mallory Grose's NPI number?

The NPI number for Mallory Grose is 1093089575. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Q: What is Mallory Grose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Grose was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 01, 2012PECOS EnrolledAccepts Medicare Assignment

694 RIVERSIDE DR, MOUNT AIRY, NC 27030(336) 719-7892(336) 719-7898 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2024, Oct 26, 2020, May 15, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Mallory Williams Grose Anp-c NPPES

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

MRS. MALLORY WILLIAMS GROSE ANP-C (NPI 1093089575) is an individual nurse practitioner in Mount Airy, North Carolina, licensed in North Carolina (5005508) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1093089575

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MALLORY WILLIAMS GROSECredential: ANP-C

Location Address694 RIVERSIDE DRMount Airy, NC 27030

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 719-7892 · Fax (336) 719-7898

Phone(336) 719-7892

Fax(336) 719-7898

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 1, 2012

Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration

NPPES CertifiedAugust 2, 2024

✔ NPI 1093089575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5005508

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 363LA2200X (NC)

694 RIVERSIDE DR, Mount Airy, NC 27030

Open in Google Maps ↗

Secondary Practice Location 1

Location 1905 ROCKFORD STMOUNT AIRY, NC 27030-5323 · Phone (336) 719-2440 · Fax (336) 719-6915

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mallory Williams Grose Anp-c 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 ID6002076056

PECOS Enrollment IDI20120328000626

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.

Medicare Billing Reassignments

Medicare enrollment records show Mallory Grose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Memorial Hospital, Inc

Same address

Cardiovascular Disease

694 RIVERSIDE DRIVE
Mt. Airy, NC 27030

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1538564232 (336) 719-7892

Novant Health Medical Group, LLC

2.2 mi

Neurology

865 WESTLAKE DR STE 200
Mount Airy, NC 27030

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1700433711 (336) 277-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

646 services477 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

221 services196 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

82 services82 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

62 services58 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

61 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services38 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340003

Location830 Rockford StMount Airy, NC 27030 · Surry County

Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490115

Location200 Hospital DriveGalax, VA 24333 · Galax City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

82%93 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

41%157 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

36%170 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

33%48 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

BT HEART AND VASCULAR CENTER, PLLC

Internal Medicine (Cardiovascular Disease)