SUSAN B GROSS (FNP-BC) – Family Nurse Practitioner, NPI 1245536432
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for SUSAN B GROSS (FNP-BC)
335 UNA AVE
ATTN: CREDENTIALING
CATHLAMET, WA 986129583
Phone: (360) 795-3201
Fax: (360) 795-3209
Type: Mailing
10024 SE 240TH ST STE 201
KENT, WA 980315124
Phone: (253) 859-2273
Type: Mailing
799 LONG ST
SWEET HOME, OR 973863304
Phone: (541) 367-3888
Fax: (541) 367-2407
Type: Location
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: 2017-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150415001706 | I | Nurse Practitioner | WA | TBD |
| I20170331000658 | I | Nurse Practitioner | OR | 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 98612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| Physician Assistant | TN | |
| Nurse Practitioner | OR | |
| Physician Assistant | NY | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR |
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