KIMBERLY ANNA GROSSNICKLE CRNP
NPI 1134685183
Nurse Practitioner - Family in Frederick, MD
About Kimberly Anna Grossnickle Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANNA GROSSNICKLE CRNP (NPI 1134685183) is an individual family provider in Frederick, Maryland, licensed in Maryland (R200925) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Kimberly Anna Grossnickle Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Grossnickle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Maryland Oncology Hematology PA
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Frederick Health Hospital
Acute Care Hospitals · Frederick, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FREDERICK, MD 21702
FREDERICK, MD 21702
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 Kimberly Grossnickle's NPI number?
The NPI number for Kimberly Grossnickle is 1134685183. It was assigned to this individual provider in the NPPES registry on February 14, 2019.
Where is Kimberly Grossnickle located?
Kimberly Grossnickle practices at 46B Thomas Johnson Dr Ste 200, Frederick, MD 21702. The listed phone number is (301) 695-6777.
What is Kimberly Grossnickle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Grossnickle enrolled in Medicare?
Yes. Kimberly Grossnickle 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.
Which organization bills Medicare for Kimberly Grossnickle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Grossnickle reassigns Medicare benefits to Maryland Oncology Hematology P.A. (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Grossnickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimberly Grossnickle affiliated with any hospitals?
According to CMS data, Kimberly Grossnickle is affiliated with Frederick Health Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Grossnickle was last updated on January 11, 2023. 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.
# Kimberly Anna Grossnickle, CRNP · NPI 1134685183
Family physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since February 14, 2019.
## Identity
- **NPI:** 1134685183 (Entity type: Individual)
- **Enumerated:** February 14, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R200925 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 46B THOMAS JOHNSON DR STE 200, Frederick, MD 21702-4501
- **Phone:** (301) 695-6777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Maryland Oncology Hematology P.A. (NPI 1396710703, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134685183) · Data from the CMS NPPES public registry.