BLAIR NICHOLE GROSE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609390335

BLAIR NICHOLE GROSE (PMHNP-BC) is a healthcare provider. based in Troy, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704309632 (MI). The NPI Number for BLAIR NICHOLE GROSE (PMHNP-BC) is 1609390335

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR NICHOLE GROSE (PMHNP-BC)
NPI
1609390335
Phone
(248) 246-0172
Address
1861 E MAPLE RD
Enumeration Date
3 August 2017
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489699932
Graduation Year
2017 (9 years ago)
PAC ID
8820346984
Group Practice PAC ID
1557323144
Professional Enrollment ID
I20180806001826
Address ID
MI483716108OX1450XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for BLAIR NICHOLE GROSE (PMHNP-BC)

  • 1861 E MAPLE RD

    TROY, MI 480834207

    Phone: (248) 246-0172

    Type: Location

  • 1450 S LAPEER RD

    OXFORD, MI 483716108

    Phone: (248) 969-9932

    Type: Mailing

  • 420 W 5TH AVE

    FLINT, MI 485032445

    Phone: (810) 257-3705

    Type: Location

  • 5247 WOODLANE RD

    CLARKSTON, MI 483483165

    Phone: (586) 770-8100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($58).

Total Amount

$187

General + Research + Ownership

Payments

8

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180806001826INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6927$0
View full utilization report →

Insurance plans in this area (ZIP 48083)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557323144View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Mental Health CounselorMI
Mental Health CounselorMI
Psychiatry, Geriatric PsychiatryMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

What number should I use to identify BLAIR NICHOLE GROSE (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1609390335 for BLAIR NICHOLE GROSE (PMHNP-BC).
Does the public listing show BLAIR NICHOLE GROSE (PMHNP-BC) as active?
BLAIR NICHOLE GROSE (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say BLAIR NICHOLE GROSE (PMHNP-BC) does?
Insurance directories may phrase it differently, but here BLAIR NICHOLE GROSE (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BLAIR NICHOLE GROSE (PMHNP-BC) in Troy, Michigan?
For routing, start with Troy, Michigan for BLAIR NICHOLE GROSE (PMHNP-BC), then verify phone and hours locally.
Why is information missing for BLAIR NICHOLE GROSE (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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