SHELBY GROSS FNP-C
NPI 1376026856
Nurse Practitioner - Family in Canaseraga, NY

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
12 N CHURCH ST, CANASERAGA, NY 14822(607) 545-2111 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 30, 2025, Nov 11, 2025, Sep 11, 2018 (3 updates tracked since 2018).

About Shelby Gross Fnp-c NPPES

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

SHELBY GROSS FNP-C (NPI 1376026856) is an individual family provider in Canaseraga, New York, licensed in New York (F354154-01) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and maintains a secondary practice location in Dansville.

NPPES Registry Identity

NPI1376026856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY GROSSCredential: FNP-C
Location Address12 N CHURCH STCanaseraga, NY 14822-9721
Mailing Address10869 State Route 36Dansville, NY 14437-9444 · (585) 335-3100 · Fax (585) 335-8695
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2018
Last NPPES UpdateJune 16, 20263 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1376026856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F354154-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 733443 (NY)
12 N CHURCH ST, Canaseraga, NY 14822

Secondary Practice Location 1

Location 160 Red Jacket StDansville, NY 14437-1769 · Phone (585) 335-6041

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

Shelby Gross Fnp-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 ID2365931078
PECOS Enrollment IDI20251031000903
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.

Hospital Affiliations CMS Care Compare 3

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

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14822 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
12 N CHURCH ST
CANASERAGA, NY 14822
Family Medicine
12 N CHURCH ST
CANASERAGA, NY 14822
Physician Assistant
12 N CHURCH ST
CANASERAGA, NY 14822
Physician Assistant (Medical)
12 N CHURCH ST
CANASERAGA, NY 14822

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 Shelby Gross's NPI number?

The NPI number for Shelby Gross is 1376026856. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Shelby Gross located?

Shelby Gross practices at 12 N Church St, Canaseraga, NY 14822. The listed phone number is (607) 545-2111.

What is Shelby Gross's specialty?

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

Is Shelby Gross enrolled in Medicare?

Yes. Shelby 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.

Is Shelby Gross affiliated with any hospitals?

According to CMS data, Shelby Gross is affiliated with St James Mercy Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Gross was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.