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

Kaitlin Rose Grigoryev

Individual provider Family Nurse Practitioner · NPI 1619601770

Kaitlin Rose Grigoryev is a Nurse Practitioner in Germantown, Wisconsin. Qualified in 2022, 4 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022

Practice location Address checks out

N112W15415 Mequon Rd
Germantown, WI 53022-3410
Phone: (262) 250-7800
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13152 (WI)

Record details

NPI number1619601770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Germantown