KELLY DIANE GROSSMAN CNP, DNP
NPI 1790453744
Nurse Practitioner in Rochester, MN

Q: What is Kelly Grossman's NPI number?

The NPI number for Kelly Grossman is 1790453744. It was assigned to this individual provider in the NPPES registry on September 3, 2021. The provider is also known as Kelly Diane Grossman Cnp, Dnp.

Q: What is Kelly Grossman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Grossman was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since September 03, 2021PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 993-0102 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Feb 25, 2022 (2 updates tracked since 2022).

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About Kelly Diane Grossman Cnp, Dnp NPPES

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

KELLY DIANE GROSSMAN CNP, DNP (NPI 1790453744) is an individual nurse practitioner in Rochester, Minnesota, licensed in Minnesota (8457) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790453744

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY DIANE GROSSMANCredential: CNP, DNP

Location Address200 1ST ST SWRochester, MN 55905-1635

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 993-0102

Sole ProprietorNo

Enumeration DateSeptember 3, 2021

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2022

✔ NPI 1790453744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 8457

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 8457 (MN)

200 1ST ST SW, Rochester, MN 55905

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Other Names 1

Professional Name (2)Kelly Diane Grossman Cnp, Dnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Diane Grossman Cnp, Dnp 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 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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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Other Providers at the Same Location NPPES 20

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

EMILY LEASURE MD

Internal Medicine