Kaycie Grusnick, FNP-C
Nurse Practitioner, Family in Lake Orion, MI. Individual provider (NPI-1).
NPI number1902209802
StatusActive
Last updated in NPPESNov 17, 2014
Details
- NPI
- 1902209802
- Entity type
- Individual (NPI-1)
- Name
- Kaycie Grusnick
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2014
- Last updated
- Nov 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704260357 | MI | Yes |
Practice location
1428 S Lapeer RdLake Orion, MI 48360-1437
Phone 248-693-0543 · Fax 248-630-4301
Mailing address
Po Box 2137Birmingham, MI 48012-2137
Phone 248-693-0543 · Fax 248-630-4301
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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