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

Nicole Ann Gross, FNP

Individual provider Family Nurse Practitioner · NPI 1174267819

Nicole Ann Gross, FNP is a Nurse Practitioner in Englewood, Ohio. Qualified in 2021, 5 years ago. Practices with Northeast Surgical Wound Care Inc, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5 W Wenger Rd
Englewood, OH 45322-1285
Phone: (937) 620-7017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0030842 (OH)

Record details

NPI number1174267819
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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 Northeast Surgical Wound Care Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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