| Alexandra Shade Gross, CRNP | |
|
500 Hospital Dr, Wetumpka, AL 36092-1625 | |
| (334) 567-4311 | |
| (334) 514-3686 |
| Full Name | Alexandra Shade Gross |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 500 Hospital Dr, Wetumpka, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356083968 | NPI | - | NPPES |
| 285542 | Medicaid | AL | |
| 04220120 | Other | AL | AANP |
| 1-152055 | Other | AL | ABN MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-152055 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmore Community Hospital | Wetumpka, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wetumpka Urgent Care Llc | 6800053133 | 13 |
| Chilton Urgent Care Llc | 7517189855 | 7 |
| Ivy Creek Of Elmore Llc | 8426075508 | 17 |
| Entity Name | Ivy Creek Of Elmore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 |
| Entity Name | Wetumpka Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194057554 PECOS PAC ID: 6800053133 Enrollment ID: O20120130000098 |
| Entity Name | Chilton Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912342205 PECOS PAC ID: 0446490536 Enrollment ID: O20130715000144 |
| Entity Name | Chilton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366857674 PECOS PAC ID: 7517189855 Enrollment ID: O20141120002311 |
| Entity Name | Enterprise Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285180729 PECOS PAC ID: 1456647197 Enrollment ID: O20160907001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Shade Gross, CRNP Po Box 130, Wetumpka, AL 36092-0003 Ph: (334) 567-4311 | Alexandra Shade Gross, CRNP 500 Hospital Dr, Wetumpka, AL 36092-1625 Ph: (334) 567-4311 |
Judith Ford, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6501 Us Highway 231, Wetumpka, AL 36092 Phone: 334-567-1171 Fax: 334-514-5832 | |
Kailey Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Hospital Dr, Wetumpka, AL 36092 Phone: 334-567-5626 | |
Heather K Hyde, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Jackson Trace Rd, Wetumpka, AL 36092 Phone: 334-567-2882 | |
Joseph Rightmyer, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6501 Us Highway 231, Wetumpka, AL 36092 Phone: 334-567-1171 Fax: 334-567-1186 | |
Mrs. Marlene Wilson-lavalley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Wetumpka, AL 36092 Phone: 334-514-3713 | |
Mrs. Megan Renee Brown, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr Ste A, Wetumpka, AL 36092 Phone: 334-279-9333 Fax: 334-279-9381 |