BLAIR NICHOLE GROSE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609390335
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $58 |
| ITI, Inc. | $49 |
| Indivior Inc. | $37 |
| Alkermes, Inc. | $28 |
| Lundbeck LLC | $16 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180806001826 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 27 | $0 |
Insurance plans in this area (ZIP 48083)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | MI | |
| Psychiatry, Geriatric Psychiatry | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| - | MI |
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