KELLY GROSS RN
NPI 1487104568
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Kelly Gross's NPI number?

The NPI number for Kelly Gross is 1487104568. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Q: What is Kelly Gross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gross was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2016PECOS Enrolled

51 N 39TH ST, PHILADELPHIA, PA 19104(215) 294-9456(215) 222-8646 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2017, Oct 12, 2016 (2 updates tracked since 2016).

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About Kelly Gross Rn NPPES

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

KELLY GROSS RN (NPI 1487104568) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016971) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1487104568

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKELLY GROSSCredential: RN

Location Address51 N 39TH STPhiladelphia, PA 19104-2640

Mailing Address51 N 39th StPhiladelphia, PA 19104-2640 · (215) 294-9456 · Fax (215) 222-8646

Phone(215) 294-9456

Fax(215) 222-8646

Sole ProprietorNo

Enumeration DateOctober 12, 2016

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1487104568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in PA · SP016971

51 N 39TH ST, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 13400 Spruce St, 5 RhoadsPhiladelphia, PA 19104-4238 · Phone (215) 662-3830

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Gross Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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