Active NPIIndividual provider

Kelsey Gross, PA

Physician Assistant in Longmont, Colorado

NPI Number1104487875
Practice location
2101 Main St, Longmont, CO 80501-1406
Fax
720-745-8031
Last updated
July 7, 2026

Kelsey Gross is a Physician Assistant based in Longmont, CO. Kelsey Gross practices in Longmont, CO and has the professional credentials of PA. The NPI Number for Kelsey Gross is 1104487875 and holds a License No. PA.0006453 (CO). The current practice location address for Kelsey Gross is 2101 Main St, Longmont, CO 80501-1406 and can be reached out via phone at 720-745-8030 and via fax at 720-745-8031.

Provider Profile Details

NPI Number
1104487875
Provider Name
Kelsey Gross
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2101 Main St, Longmont, CO 80501-1406
Phone Number
720-745-8030
Fax Number
720-745-8031
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Kelsey Lapsley (Former Name)
Provider Enumeration Date
June 24, 2019
Last Update Date
July 7, 2026
Certification Date
July 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2101 Main St
Longmont, CO 80501-1406
Zip
80501-1406
Phone Number
720-745-8030
Fax Number
720-745-8031
Longmont, CO 80501Get directions →

Provider Business Mailing Address Details

Address
2101 Main St
Longmont, CO 80501-1406
City
Longmont
State
CO
Zip
80501-1406
Phone Number
720-745-8030
Fax Number
720-745-8031

License Information

License Number (1)
PA.0006453
License State (1)
CO
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey Gross, PA?

The NPI number of Kelsey Gross, PA is 1104487875. It was assigned on June 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelsey Gross, PA?

Kelsey Gross, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CO under license number PA.0006453.

Where does Kelsey Gross, PA practice?

The practice location is 2101 Main St, Longmont, CO 80501-1406. The office can be reached at 720-745-8030 (phone) or 720-745-8031 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104487875 directly on the NPPES registry website.

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