Individual provider Active NPI

Kasey L Gerschutz, NNP-BC

  • Neonatal Nurse Practitioner
  • Lima, OH
National Provider Identifier
1144783366
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APRN.CNP.024675 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(614) 722-2000
NPI assigned
Apr 14, 2019
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X APRN.CNP.024675 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

5901 Monclova Rd
Maumee, OH 43537-1899
Phone (419) 893-5911

Other practice location 2

5200 Harroun Rd
Sylvania, OH 43560-2196
Phone (419) 824-1444

Other practice location 3

2801 Bay Park Dr
Oregon, OH 43616-4925
Phone (419) 690-7900

Other practice location 4

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-5437

Other identifiers 1

IdentifierTypeStateIssuer
0352235MedicaidOH

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
I20190624002850 OH Practitioner - Nurse Practitioner 4385978402 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024675OHMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Children's Specialists CurrentSince Jan 27, 2024 Accepting new patients
The Toledo Hospital CurrentSince May 14, 2019 Accepting new patients
The Toledo Hospital CurrentSince May 14, 2019 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients

Locations

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1144783366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Monclova Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371899",
            "country_code": "US",
            "telephone_number": "419-893-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602196",
            "country_code": "US",
            "telephone_number": "419-824-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Bay Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164925",
            "country_code": "US",
            "telephone_number": "419-690-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSCHUTZ",
        "first_name": "KASEY",
        "middle_name": "L",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OH",
            "license": "APRN.CNP.024675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352235",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.