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

Kristen E Gricus, PMHNP-BC, IBCLC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598066615

Kristen E Gricus, PMHNP-BC, IBCLC is a Nurse Practitioner in South Kingstown, Rhode Island. Qualified in 2025, 1 year ago. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2010
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Phone: (844) 754-6564
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN04914 (RI)

Record details

NPI number1598066615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , IBCLC
Sole proprietorNo
NPI enumeratedNovember 5, 2010
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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