| Stacey N Gripshover, PMHNP-BC | |
| 
					6105 1st Financial Dr, Burlington, KY 41005-7892  | |
| (859) 301-5901 | |
| (859) 301-5940 | 
| Full Name | Stacey N Gripshover | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 6105 1st Financial Dr, Burlington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528714185 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3017424 (Kentucky) | Primary | 
| Entity Name | Summit Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacey N Gripshover, PMHNP-BC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901  | Stacey N Gripshover, PMHNP-BC 6105 1st Financial Dr, Burlington, KY 41005-7892 Ph: (859) 301-5901  | 
Amanda Jo Frazier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6105 1st Financial Dr, Burlington, KY 41005 Phone: 859-586-8200 Fax: 859-586-8233  | |
Emily Pearson,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1747 Patrick Dr, Burlington, KY 41005 Phone: 866-825-3227  | |
Laura Ann Jacobs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6159 1st Financial Dr, St. Elizabeth Physicians, Burlington, KY 41005 Phone: 859-586-8200 Fax: 859-586-8233  |