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

Traci Jane Grussenmeyer

Individual provider Family Nurse Practitioner · NPI 1770058521

Traci Jane Grussenmeyer is a Family Nurse Practitioner in Sacramento, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1625 Stockton Blvd Ste 104
Sacramento, CA 95816-7098
Phone: (916) 469-9337
Fax: (916) 706-3632
Show map & directions

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

Additional practice locations (1)

  • 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 — (559) 353-5700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56099 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95010232 (CA)

Record details

NPI number1770058521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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