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

Cortny Osie-Ann Vandergrift

Individual provider Women's Health Nurse Practitioner · NPI 1215570585

Cortny Osie-Ann Vandergrift is a Nurse Practitioner in Jefferson City, Missouri. Qualified in 2019, 7 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019

Practice location Address checks out

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 636-5248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 2019040282 (MO)

Record details

NPI number1215570585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2019
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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