Individual provider Active NPI

Stacy Grissett, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bordentown, NJ
National Provider Identifier
1730649138
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NO11219900 Issued in NJ
Practice address
100 K Johnson Blvd
Bordentown, NJ 08505-2275
Phone
(609) 689-5725
NPI assigned
Mar 21, 2019
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X MG5305291 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NO11219900 NJ Primary

Addresses

Primary practice location

100 K Johnson Blvd
Bordentown, NJ 08505-2275

Mailing address

1445 Whitehorse Mercerville Rd Ste 111
Hamilton, NJ 08619-3834
Phone (609) 689-5725

Other practice location 1

1445 Whitehorse Mercerville Rd Ste 111
Hamilton, NJ 08619-3834
Phone (609) 689-5725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stacy.grissett.2@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190516000074 NJ Practitioner - Nurse Practitioner 3678816543 Reassigns benefits to 2 organizations
I20210105000923 PA Practitioner - Nurse Practitioner 3678816543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians
Emotional Wealth LLCGroup PAC ID 3375924368, 2 clinicians

Practice addresses (Care Compare)

1445 Whitehorse Mercerville Rd
Suite 11
Hamilton, NJ 08619-3834
Phone (609) 689-5725

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

3495 US Hwy 1
Suite 34
Princeton, NJ 08540-5933
Phone (732) 305-0335

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NO11219900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince May 13, 2019 Accepting new patients
Diamond Touch Functional Medicine LLC Current Accepting new patients
Emotional Wealth LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

1 3rd St
Bordentown, NJ 08505
Phone (609) 298-2005

100 K Johnson Blvd
Bordentown, NJ 08505
Phone (609) 537-7200

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

3495 US Highway 1
Ste 34
Princeton, NJ 08540
Phone (609) 300-6502

1445 Whitehorse Mercerville Rd
Ste 111
Trenton, NJ 08619
Phone (609) 689-5725

1700 Nottingham Way
Ste 108
Trenton, NJ 08619
Phone (609) 303-4870

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacy.grissett.2@12833.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1730649138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 111",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-689-5725",
            "fax_number": "609-689-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-689-5725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Whitehorse Mercerville Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193834",
            "country_code": "US",
            "telephone_number": "609-689-5725",
            "fax_number": "609-689-5726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISSETT",
        "first_name": "STACY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "MG5305291",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NO11219900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacy.grissett.2@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 K Johnson Blvd",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.