KIMBERLY ANNA GROSSNICKLE CRNP NPI 1134685183

NPI Information

  • NPI: 1134685183
  • Provider Name: KIMBERLY ANNA GROSSNICKLE, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 46B THOMAS JOHNSON DR STE 200
    FREDERICK, MD
    ZIP 21702
  • Phone: (301) 695-6777

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NPI Details

Kimberly Anna Grossnickle, CRNP is a family nurse practitioner in Frederick, MD with 7 years of experience. Kimberly Anna Grossnickle, CRNP NPI is 1134685183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

46B THOMAS JOHNSON DR STE 200
FREDERICK, MD
ZIP 21702-501
Phone: (301) 695-6777

The NPI 1134685183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseR200925MARYLANDNo
2363LF0000XNurse PractitionerFamilyR200925MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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