Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Ross

Individual provider Family Nurse Practitioner · NPI 1720676117

Katherine Ross is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Altea Medical Michigan PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone: (616) 808-2659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704310270 (MI)

Record details

NPI number1720676117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2021
Last updated in NPPESJune 14, 2022
Certification dateJune 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Altea Medical Michigan Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids