Shelby Gross, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Canaseraga, New York. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tri-county Family Medicine Program, Inc. and her current practice location is
12 N Church St, Canaseraga, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 545-2111.
Shelby Gross is licensed to practice in New York (license number F354154-01) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376026856.
Provider's Profile
| Full Name | Shelby Gross |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 12 N Church St, Canaseraga, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelby Gross graduated from nursing school in 2019
NPI Data:
- NPI Number: 1376026856
- Provider Enumeration Date: 09/11/2018
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365931078
- Enrollment ID: I20251031000903
Medical Identifiers
Medical identifiers for Shelby Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376026856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 733443 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F354154-01 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tri-county Family Medicine Program, Inc. | 4183699937 | 19 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Gross is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shelby Gross, FNP-C
10869 State Route 36,
Dansville, NY 14437-9444
Ph: (585) 335-3100 | Shelby Gross, FNP-C
12 N Church St,
Canaseraga, NY 14822-9721
Ph: (607) 545-2111 |
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