Kimberly Anna Grossnickle, CRNP - Medicare Nurse Practitioner 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



Provider's Profile

Full NameKimberly Anna Grossnickle
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location46b Thomas Johnson Dr Ste 200, Frederick, Maryland
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1134685183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R200925 (Maryland)Secondary
363LF0000XNurse Practitioner - Family R200925 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Oncology Hematology Pa206230210280

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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 NameMaryland Oncology Hematology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396710703
PECOS PAC ID: 2062302102
Enrollment ID: O20040319001169

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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 AddressPractice 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

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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    

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