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

Jacob Grisham, FNP

Individual provider Family Nurse Practitioner · NPI 1417776196

Jacob Grisham, FNP is a Nurse Practitioner in Newburgh, Indiana. Qualified in 2024, 2 years ago. Practices with Digestive Care of Evansville PC, a 26-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3800 Venetian Way
Newburgh, IN 47630-8257
Phone: (812) 477-6103
Fax: (812) 469-3285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015844A (IN)

Record details

NPI number1417776196
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESMay 13, 2025
Certification dateMay 7, 2025
Mailing address3800 Venetian Way, Newburgh, IN 47630-8257

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Digestive Care Of Evansville Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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