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

Tina Marie Gutekunst

Individual provider Nurse Practitioner · NPI 1295184679

Tina Marie Gutekunst is a Nurse Practitioner in Ft Mitchell, Kentucky. Graduated from University of Cincinnati College of Medicine in 2015, 11 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
11
Trained at
University of Cincinnati College of Medicine
Licensed in
IN, KY, OH
In the registry since
2016
Specialties on file
3

Practice location Address checks out

2300 Chamber Center Dr
Ft Mitchell, KY 41017
Phone: (859) 341-3114
Fax: (859) 578-2156
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3010634 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71009290A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.18966-NP (OH)

Record details

NPI number1295184679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services