KELLY ALINE GROSSMAN NURSE PRACTITIONER
NPI 1730157454
Nurse Practitioner - Obstetrics & Gynecology in Carmichael, CA

Active since March 09, 2006PECOS Enrolled
5821 JAMESON CT STE 1, CARMICHAEL, CA 95608(916) 864-0411(916) 797-9414 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Aug 16, 2018 (2 updates tracked since 2018).

About Kelly Aline Grossman Nurse Practitioner NPPES

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

KELLY ALINE GROSSMAN NURSE PRACTITIONER (NPI 1730157454) is an individual obstetrics & gynecology provider in Carmichael, California, licensed in California (390508) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730157454
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKELLY ALINE GROSSMANCredential: NURSE PRACTITIONER
Location Address5821 JAMESON CT STE 1Carmichael, CA 95608
Mailing Address5821 Jameson Ct Ste 1Carmichael, CA 95608-0820 · (916) 864-0411 · Fax (916) 797-9414
Fax(916) 797-9414
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1730157454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in CA · 390508
5821 JAMESON CT STE 1, Carmichael, CA 95608

Other Names 1

Former Name (1)Kelly A Scott

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 Aline Grossman Nurse Practitioner 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 95608 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Kelly Grossman's NPI number?

The NPI number for Kelly Grossman is 1730157454. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Kelly A Scott.

Where is Kelly Grossman located?

Kelly Grossman practices at 5821 Jameson Ct Ste 1, Carmichael, CA 95608. The listed phone number is (916) 864-0411.

What is Kelly Grossman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kelly Grossman enrolled in Medicare?

Yes. Kelly Grossman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Grossman was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.