TAMMY JEAN GROSSERODE (PA-C) – Physician Assistant, NPI 1740468388

TAMMY JEAN GROSSERODE (PA-C) is a healthcare provider. based in Kansas city, Missouri. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2006024407 (MO). The NPI Number for TAMMY JEAN GROSSERODE (PA-C) is 1740468388

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY JEAN GROSSERODE (PA-C)
NPI
1740468388
Phone
(816) 454-0666
Address
5810 NW BARRY RD
Enumeration Date
6 February 2008
Last Update Date
16 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165848100
Graduation Year
1984 (42 years ago)
PAC ID
9739268400
Group Practice PAC ID
5597858795
Professional Enrollment ID
I20080506000649
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for TAMMY JEAN GROSSERODE (PA-C)

  • 5810, Northwest Barry Road, Kansas City, Platte County, Missouri, 64154, United States

    STE 100

    KANSAS CITY, MO 641541400

    Phone: (816) 454-0666

    Fax: (816) 454-1694

    Type: Mailing

  • 5330 N OAK TRFY

    SUITE 200

    KANSAS CITY, MO 641184699

    Phone: (816) 454-0666

    Fax: (816) 454-1694

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 64154)

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Provider's Procedures

TAMMY JEAN GROSSERODE (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO17003Destruction of 2-14 skin growths1149220

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: 5597858795View full group profile
NameSpecialtyState
Physician AssistantMO
Micrographic Dermatologic Surgery (Mds), Internal MedicineKS
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Physician AssistantMO
Nurse PractitionerMO
D E R M A T O L O G YMO
Family Practice, DermatologyMO
Physician AssistantMO
Physician AssistantKS

Reviews

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Frequently asked questions

What NPI should I save for TAMMY JEAN GROSSERODE (PA-C)?
Save NPI 1740468388 if you need a stable reference for TAMMY JEAN GROSSERODE (PA-C).
Is TAMMY JEAN GROSSERODE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TAMMY JEAN GROSSERODE (PA-C) work in?
You can think of TAMMY JEAN GROSSERODE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is TAMMY JEAN GROSSERODE (PA-C)'s primary listing?
We display Kansas City, Missouri because that is what the record indicates for TAMMY JEAN GROSSERODE (PA-C).
How can I contact TAMMY JEAN GROSSERODE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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