JORDANA N GROSS MD
NPI 1760131387
Pediatrics in Champlain, NY

Active since March 21, 2022PECOS Enrolled
828 STATE ROUTE 11, CHAMPLAIN, NY 12919(518) 298-2691(518) 298-8241 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Jul 6, 2025 (2 updates tracked since 2025).

About Jordana N Gross Md NPPES

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

JORDANA N GROSS MD (NPI 1760131387) is an individual pediatrics provider in Champlain, New York, licensed in New York (335822) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2022).

NPPES Registry Identity

NPI1760131387
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJORDANA N GROSSCredential: MD
Location Address828 STATE ROUTE 11Champlain, NY 12919-4966
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 298-8241
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1760131387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 335822
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
828 STATE ROUTE 11, Champlain, NY 12919

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jordana N Gross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991201352
PECOS Enrollment IDI20251003001816
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 12919 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 16

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

Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Clinic/Center (Primary Care)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Social Worker (Clinical)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919

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 Jordana Gross's NPI number?

The NPI number for Jordana Gross is 1760131387. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Jordana Gross located?

Jordana Gross practices at 828 State Route 11, Champlain, NY 12919. The listed phone number is (518) 298-2691.

What is Jordana Gross's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jordana Gross enrolled in Medicare?

Yes. Jordana Gross is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordana Gross was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.