Individual provider Active NPI

Kasi Marquette Gardner, MS, APRN, CNP

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1477832541
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0029610 Issued in OH
Practice address
2615 Derr Rd
Springfield, OH 45503-2445
Phone
(937) 390-0005
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 0029610 OH Primary

Addresses

Primary practice location

2615 Derr Rd
Springfield, OH 45503-2445

Mailing address

30 Warder St
Springfield, OH 45504-2500
Phone (937) 328-2310

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
I20220920000719 OH Practitioner - Nurse Practitioner 2163807637 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
0029610OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC CurrentSince Nov 20, 2024 Accepting new patients
Springfield Healthcare Center Inc CurrentSince Jun 10, 2022 Accepting new patients
PA Post Acute Services PC CurrentSince Nov 26, 2024 Accepting new patients

Locations

333 W Mishawaka Rd
Elkhart, IN 46517
Phone (574) 293-1550

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

7800 Jandaracres Dr
Cincinnati, OH 45248
Phone (513) 941-0787

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

2615 Derr Rd
Springfield, OH 45503
Phone (937) 390-0005

30 Warder St
Ste 100
Springfield, OH 45504
Phone (937) 328-2310

Organizations & group practices 3

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1477832541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-328-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032445",
            "telephone_number": "937-390-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KASI",
        "middle_name": "MARQUETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.