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

Individual provider Nurse Practitioner · NPI 1568903458

Katie Ann Gruen, NURSEPRACTITIONER is a Nurse Practitioner in Florence, Kentucky. Qualified in 2016, 10 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
10
Licensed in
IN, KY, OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

4900 Houston Rd
Florence, KY 41042-4824
Phone: (859) 212-7000
Fax: (859) 212-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013046 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71010088A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2016025419 (OH)

Record details

NPI number1568903458
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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