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

Jacqueline Leight Reichert Grimes

Individual provider Family Nurse Practitioner · NPI 1548735384

Jacqueline Leight Reichert Grimes is a Nurse Practitioner in Lakeside Park, Kentucky. Qualified in 2017, 9 years ago. Practices with University of Cincinnati Physicians Company LLC, a 1,476-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018

Practice location Address checks out

334 Farmington Dr
Lakeside Park, KY 41017-3195
Phone: (859) 446-6263
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence .023697 (OH)

Record details

NPI number1548735384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 8, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Cincinnati Physicians Company Llc — 1476 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount