JESSICA GROSS PA-C
NPI 1871109256
Physician Assistant - Medical in West Bloomfield, MI

Q: What is Jessica Gross's NPI number?

The NPI number for Jessica Gross is 1871109256. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Q: What is Jessica Gross's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Jessica Gross enrolled in Medicare?

No. Jessica Gross has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jessica Gross was last updated on December 17, 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 21, 2020Opted out of Medicare · through Jan 19, 2028

6089 W MAPLE RD STE 200, WEST BLOOMFIELD, MI 48322(248) 851-1600(248) 851-0421 Get Directions Write a Review

NPPES record last updated: December 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2022, Oct 29, 2020, Sep 21, 2020 (3 updates tracked since 2020).

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About Jessica Gross Pa-c NPPES

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

JESSICA GROSS PA-C (NPI 1871109256) is an individual medical provider in West Bloomfield, Michigan, licensed in Michigan (5601010866) and active in the NPI registry since September 2020. She has opted out of Medicare through January 19, 2028 and remains eligible to order and refer and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1871109256

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA GROSSCredential: PA-C

Location Address6089 W MAPLE RD STE 200West Bloomfield, MI 48322-2286

Mailing Address3758 Griffith Ave Apt SuiteBerkley, MI 48072-1439 · (248) 930-6134

Phone(248) 851-1600

Fax(248) 851-0421

Sole ProprietorYes

Enumeration DateSeptember 21, 2020

Last NPPES UpdateDecember 17, 20223 updates tracked since enumeration

NPPES CertifiedDecember 17, 2022

✔ NPI 1871109256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601010866

6089 W MAPLE RD STE 200, West Bloomfield, MI 48322

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Secondary Practice Location 1

Location 16089 W Maple Rd Ste 200West Bloomfield, MI 48322-2286 · Phone (248) 851-1600 · Fax (248) 851-0421

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Gross Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2022 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2022

Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DR. JESSICA RACHEL BROWNSTEIN D.O.

Family Medicine

6089 W MAPLE RD STE 200
WEST BLOOMFIELD, MI 48322

Oakland County (248) 851-1600

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 Jessica Gross's NPI number?

The NPI number for Jessica Gross is 1871109256. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Jessica Gross located?

Jessica Gross practices at 6089 W Maple Rd Ste 200, West Bloomfield, MI 48322. The listed phone number is (248) 851-1600.

What is Jessica Gross's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Gross enrolled in Medicare?

No. Jessica Gross has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Gross was last updated on December 17, 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.