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

Mrs. Jessica Grigoreva

Individual provider Family Nurse Practitioner · NPI 1619486693

Mrs. Jessica Grigoreva is a Nurse Practitioner in Dodge City, Kansas. Qualified in 2019, 7 years ago. Practices with Lindsborg Community Hospital Association, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

112 W Ross Blvd
Dodge City, KS 67801-7219
Phone: (620) 371-7130
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-75850-031 (KS)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 78580 (KS)

Record details

NPI number1619486693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2017
Last updated in NPPESApril 8, 2019

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 Lindsborg Community Hospital Association — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Dodge City