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

Carrie Ann Gresham, NP

Individual provider Nurse Practitioner · NPI 1376118158

Carrie Ann Gresham, NP is a Nurse Practitioner in Owensboro, Kentucky. Qualified in 2021, 5 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
5
Licensed in
IN, KY
In the registry since
2021
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1100 Walnut St
Owensboro, KY 42301-2956
Phone: (270) 689-6500
Fax: (270) 689-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4006013 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 28190743A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71011434A (IN)

Record details

NPI number1376118158
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing addressPo Box 1230, Evansville, IN 47706-1230

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 Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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