Individual provider Active NPI

Kelsi Nikole Gerdeman, FNP-C, ENP-C

  • Family Nurse Practitioner
  • Springboro, OH
National Provider Identifier
1023609617
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028380 Issued in OH
Practice address
662 N Main St
Springboro, OH 45066-9553
Phone
(937) 641-5066
Fax
(937) 550-9797
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028380 OH Primary

Addresses

Primary practice location

662 N Main St
Springboro, OH 45066-9553

Mailing address

1316 Amelia Ave
Findlay, OH 45840-6504
Phone (740) 251-3552

Other practice location 1

3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-2759
Phone (937) 641-5098

Other practice location 2

1711 Germantown Pike
Dayton, OH 45417
Phone (937) 641-3142

Other practice location 3

8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 641-4360

Other practice location 4

6044 Wilmington Pike
Dayton, OH 45459-7006
Phone (937) 641-3270

Other practice location 5

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3600

Other practice location 6

792 Northwoods Blvd
Vandalia, OH 45377-9462
Phone (937) 641-4236

Other practice location 7

4475 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 641-3141

Other practice location 8

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5725

Other practice location 9

7787 Cox Ln
West Chester, OH 45069-6549
Phone (937) 641-5757

Other identifiers 1

IdentifierTypeStateIssuer
0434572MedicaidOH

Other names 1

  • Kelsi Lauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309002892 OH Practitioner - Nurse Practitioner 8527474998 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Mar 8, 2021 Accepting new patients
Dayton Children'S Hospital CurrentSince Nov 1, 2021 Accepting new patients
Dayton Children'S Hospital CurrentSince Nov 1, 2021 Accepting new patients
Incare Health Solutions LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098

1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222

1711 Germantown St
Dayton, OH 45417
Phone (937) 641-3142

6044 Wilmington Pike
Dayton, OH 45459
Phone (937) 641-3270

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095

4475 Far Hills Ave
Kettering, OH 45429
Phone (937) 641-3141

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

8809 Wilkens Blvd
Mason, OH 45040
Phone (513) 701-6907

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

662 N Main St
Springboro, OH 45066
Phone (937) 641-5066

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

792 Northwoods Blvd
Vandalia, OH 45377
Phone (937) 641-4236

7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1023609617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 AMELIA AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406504",
            "telephone_number": "740-251-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669553",
            "telephone_number": "937-641-5066",
            "fax_number": "937-550-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Dayton Xenia Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322759",
            "country_code": "US",
            "telephone_number": "937-641-5098",
            "fax_number": "937-912-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45417",
            "country_code": "US",
            "telephone_number": "937-641-3142",
            "fax_number": "937-641-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Old Troy Pike",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241054",
            "country_code": "US",
            "telephone_number": "937-641-4360",
            "fax_number": "937-641-3791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6044 Wilmington Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454597006",
            "country_code": "US",
            "telephone_number": "937-641-3270",
            "fax_number": "937-641-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3600",
            "fax_number": "937-641-5802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "792 Northwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453779462",
            "country_code": "US",
            "telephone_number": "937-641-4236",
            "fax_number": "937-641-4237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292405",
            "country_code": "US",
            "telephone_number": "937-641-3141",
            "fax_number": "937-641-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-5725",
            "fax_number": "937-350-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7787 Cox Ln",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696549",
            "country_code": "US",
            "telephone_number": "937-641-5757",
            "fax_number": "513-847-1192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERDEMAN",
        "first_name": "KELSI",
        "middle_name": "NIKOLE",
        "credential": "FNP-C, ENP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "LAUER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.