Kimberly Anna Grossnickle, CRNP in Frederick, MD

Kimberly Anna Grossnickle, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Frederick, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Maryland Oncology Hematology Pa and her current practice location is 46b Thomas Johnson Dr Ste 200, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 695-6777.

Kimberly Anna Grossnickle is licensed to practice in Maryland (license number R200925) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134685183.

Contact Information

	Kimberly Anna Grossnickle, CRNP
	46b Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501
	(301) 695-6777
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Anna Grossnickle
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	46b Thomas Johnson Dr Ste 200, Frederick, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Anna Grossnickle graduated from nursing school in 2018

NPI Data:

NPI Number: 1134685183
Provider Enumeration Date: 02/14/2019
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2769714526
Enrollment ID: I20191028001718

Medical Identifiers

Medical identifiers for Kimberly Anna Grossnickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134685183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R200925 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R200925 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frederick Health Hospital	Frederick, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maryland Oncology Hematology Pa	2062302102	81

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Anna Grossnickle allows following entities to bill medicare on her behalf.

Entity Name	Maryland Oncology Hematology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396710703 PECOS PAC ID: 2062302102 Enrollment ID: O20040319001169

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Anna Grossnickle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Anna Grossnickle, CRNP 11720 Beltsville Dr Ste 300, Beltsville, MD 20705-3119 Ph: (240) 223-1799	Kimberly Anna Grossnickle, CRNP 46b Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501 Ph: (301) 695-6777

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Kimberly Anna Grossnickle, CRNP - Medicare Nurse Practitioner in Frederick, MD