Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Patrice Brown-Gross, CRNP-PMH

Individual provider Registered Nurse · NPI 1124781356

Kimberly Patrice Brown-Gross, CRNP-PMH is a Nurse Practitioner in Waldorf, Maryland. Qualified in 2021, 5 years ago. Practices with Lca Psychological Associates LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

8745 Whittington St
Waldorf, MD 20603-7008
Phone: (240) 412-4719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R149350 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R149350 (MD)

Record details

NPI number1124781356
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorYes
NPI enumeratedOctober 14, 2021
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lca Psychological Associates Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Waldorf