ERNEST JAY GROSS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043640840
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ERNEST JAY GROSS (CRNA)
206 LOCUST ST
PROVIDENCE, KY 424501514
Phone: (205) 919-0863
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-2633
Fax: (319) 356-2940
Type: Location
1060 BLUESTONE WAY
BIRMINGHAM, AL 352422499
Phone:
Type: Mailing
1600 7TH AVE S
BIRMINGHAM, AL 352331711
Phone: (205) 638-5246
Type: Location
7 Independence Pt Ste 300
Greenville, SC 296154569
Phone: (864) 522-3700
Fax: (864) 522-3705
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2633
Fax: (319) 356-2940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181016002813 | I | Certified Registered Nurse Anesthetist (Crna) | AL | TBD |
| I20200609002889 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20230914004093 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Pain Management, Anesthesiology, Interventional Pain Management | GA | |
| - | TX | |
| - | SC | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | GA |
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