Individual provider Active NPI

Heather L. John, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bucyrus, OH
National Provider Identifier
1447021076
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037096 Issued in OH
Practice address
2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone
(419) 562-2000
NPI assigned
Jan 11, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037096 OH Primary
Registered Nurse 163W00000X RN.520706 OH

Addresses

Primary practice location

2458 Stetzer Rd
Bucyrus, OH 44820-2066

Mailing address

2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone (419) 562-2000

Other names 1

  • Heather L. Gerger 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
I20250113002493 OH Practitioner - Nurse Practitioner 6901334374 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.520706OHMDRegistered Nurse
APRN.CNP.0037096OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc. CurrentSince Dec 28, 2024 Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Dec 28, 2024 Accepting new patients
Third Street Community Clinic, Inc CurrentSince Dec 28, 2024 Accepting new patients
Third Street Community Clinic Inc CurrentSince Dec 28, 2024 Accepting new patients

Locations

2458 Stetzer Rd
Bucyrus, OH 44820
Phone (419) 562-2000

2458 Stetzer Rd
Unit A
Bucyrus, OH 44820
Phone (419) 834-8889

600 W 3rd St
Mansfield, OH 44906
Phone (419) 525-6722

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

320 Executive Dr
Marion, OH 43302
Phone (740) 387-5210

1404 Park Ave W
Ste 2
Ontario, OH 44906

Organizations & group practices 4

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1447021076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "HEATHER",
        "middle_name": "L.",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037096",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.520706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GERGER",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.