Jacob Grisham, FNP
NPI 1417776196 · Family Nurse Practitioner · Newburgh, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Grisham, FNP is a Family Nurse Practitioner provider in Newburgh, IN (NPI 1417776196).
Provider details
- NPI number
- 1417776196
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 71015844A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
1 yr in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$534 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2025-05-13
- Certified
- 2025-05-07
Frequently asked questions
- What is Jacob Grisham's NPI number?
- Jacob Grisham's National Provider Identifier (NPI) is 1417776196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Grisham's specialty?
- Jacob Grisham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Grisham located?
- Jacob Grisham's practice location on file with NPPES is 3800 Venetian Way, Newburgh, IN 47630-8257.
- What is Jacob Grisham's phone number?
- The practice phone number listed in the NPPES registry for Jacob Grisham is (812) 477-6103.
- Does Jacob Grisham accept Medicare?
- Jacob Grisham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Grisham's NPI active?
- Yes — Jacob Grisham's NPI (1417776196) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.