MRS. THERESA GROSS APRN
NPI 1144622523
Nurse Practitioner - Family in Corbin, KY

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
121 BISHOP ST, CORBIN, KY 40701(606) 528-2124 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Theresa Gross Aprn NPPES

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

MRS. THERESA GROSS APRN (NPI 1144622523) is an individual family provider in Corbin, Kentucky, licensed in Kentucky (3008942) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144622523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA GROSSCredential: APRN
Location Address121 BISHOP STCorbin, KY 40701-1702
Mailing Address2320 S Ky 233Gray, KY 40734-6859 · (606) 521-9147
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2014
Last NPPES UpdateNovember 16, 2018
NPI 1144622523 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 KY · 3008942
121 BISHOP ST, Corbin, KY 40701

Other Identifiers 1

Medicaid7100345190KY

Accepted Insurance

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

Mrs. Theresa Gross Aprn 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 ID648597476
PECOS Enrollment IDI20150316001557
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.

Areas of Expertise CMS Part B claims 2

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers40 claims55 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims26 services$0.87 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers11 claims11 services$21.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers18 claims57 services$3.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers54 claims54 services$20.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers25 claims25 services$53.27 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 17

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

Pharmacy (Community/Retail Pharmacy)
121 BISHOP ST
CORBIN, KY 40701
Family Medicine
121 BISHOP ST
CORBIN, KY 40701
Pharmacy (Community/Retail Pharmacy)
121 BISHOP ST, SUITE 1
CORBIN, KY 40701
Pharmacist
121 BISHOP ST
CORBIN, KY 40701
Clinic/Center (Physical Therapy)
121 BISHOP ST
CORBIN, KY 40701
Nurse Practitioner (Family)
121 BISHOP ST
CORBIN, KY 40701
Physician Assistant
121 BISHOP ST
CORBIN, KY 40701
Physical Therapist
121 BISHOP ST, SUITE 102
CORBIN, KY 40701

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 Theresa Gross's NPI number?

The NPI number for Theresa Gross is 1144622523. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Theresa Gross located?

Theresa Gross practices at 121 Bishop St, Corbin, KY 40701. The listed phone number is (606) 528-2124.

What is Theresa Gross's specialty?

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

Is Theresa Gross enrolled in Medicare?

Yes. Theresa 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.

What insurance does Theresa Gross accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Theresa Gross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Gross affiliated with any hospitals?

According to CMS data, Theresa Gross is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Theresa Gross was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.