Jacob Grisham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71015844A Issued in IN

Practice address

3800 Venetian Way
Newburgh, IN 47630-8257

Phone

(812) 477-6103

Fax

(812) 469-3285

NPI assigned

Oct 9, 2024

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Care of Evansville PCGroup PAC ID 8022119858, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Care of Evansville PC

  • Gastroenterology Physician
  • Newburgh, IN
  • NPI 1376751891

  Family

  Medicare reassignment Care Compare group NPD
• Digestive Care of Evansville, PC

  dba QuickPath

  • Clinical Medical Laboratory
  • Evansville, IN
  • NPI 1619220118
  NPD
• Jasper Anesthesia Care Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Jasper, IN
  • NPI 1417517640
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• St. Mary's Health, Inc.

  dba Ascension St. Vincent Evansville

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957
  Care Compare affiliation
• St. Mary's Warrick Hospital, Inc.

  dba Ascension St. Vincent Warrick

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1417776196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-477-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-477-6103",
            "fax_number": "812-469-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "JACOB",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015844A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenlee Chiropractic and Acupuncture Clinic Inc
• Adam S. Greenlee, D.C., L.A.C.
• Chloe Greenwell
• Sydney Lynn Grider
• Daniel W. Griffin, MD
• Audra Groeninger, OTR/L
• Kelsey Jo Guidry, RBT
• Adam Alexander Guth, DMD
• Erin Haaff
• Kimberly K. Haerle, M.ED

• Family Nurse Practitioner in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.