DR. EVAN ZACHARY GROSS PHD
NPI 1528867504
Clinical Neuropsychologist in Ann Arbor, MI

Active since March 11, 2025PECOS EnrolledAccepts Medicare Assignment
250 W EISENHOWER PKWY STE 190, ANN ARBOR, MI 48103(734) 961-7187 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Evan Zachary Gross Phd NPPES

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

DR. EVAN ZACHARY GROSS PHD (NPI 1528867504) is an individual clinical neuropsychologist in Ann Arbor, Michigan, licensed in Michigan (6301018995) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528867504
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. EVAN ZACHARY GROSSCredential: PHD
Location Address250 W EISENHOWER PKWY STE 190Ann Arbor, MI 48103-6934
Mailing Address21546 Gregory StDearborn, MI 48124-3006 · (201) 403-4977
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1528867504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MI · 6301018995
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
250 W EISENHOWER PKWY STE 190, Ann Arbor, MI 48103

Accepted 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

Dr. Evan Zachary Gross Phd 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 ID6608371646
PECOS Enrollment IDI20250923000169
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 Reassignment

Medicare enrollment records show Evan Gross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
7305 GRAND RIVER RD STE 300
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 4 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.

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103
Psychologist (Clinical)
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103
Marriage & Family Therapist
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103

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 Evan Gross's NPI number?

The NPI number for Evan Gross is 1528867504. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Evan Gross located?

Evan Gross practices at 250 W Eisenhower Pkwy Ste 190, Ann Arbor, MI 48103. The listed phone number is (734) 961-7187.

What is Evan Gross's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Evan Gross enrolled in Medicare?

Yes. Evan 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.

Which organization bills Medicare for Evan Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Gross reassigns Medicare benefits to Neuropsychology Partners, LLC (Brighton, MI). 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 Evan Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Gross accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Evan 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.

When was this NPI record last updated?

The NPPES record for Evan Gross was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.