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

Kelsey Gross, PA

Individual provider Physician Assistant · NPI 1104487875

Kelsey Gross, PA is a Physician Assistant in Longmont, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2101 Main St
Longmont, CO 80501-1406
Phone: (720) 745-8030
Fax: (720) 745-8031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 College St Apt 19, South Hadley, MA 01075-7508 — (860) 786-8444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006453 (CO)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1104487875
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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