Individual provider Active NPI

Stacie L Hertzsch, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1851824916
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020412 Issued in OH
Practice address
21 E State St
Columbus, OH 43215-4281
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Apr 6, 2017
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 APRN.CNP.020412 OH Primary

Addresses

Primary practice location

21 E State St
Columbus, OH 43215-4281

Mailing address

7098 Sierra LN
Temperance, MI 48182-2319
Phone (419) 360-2218

Other practice location 1

7098 Sierra Ln
Temperance, MI 48182-2319
Phone (419) 360-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170428001813 OH Practitioner - Nurse Practitioner 1557648557 Reassigns benefits to 5 organizations
I20180103003294 MI Practitioner - Nurse Practitioner 1557648557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Guidestar Eldercare Corp -OhGroup PAC ID 9739504523, 43 clinicians

Practice addresses (Care Compare)

131 N Wheeling St
Toledo, OH 43605-1544
Phone (419) 724-1414

151 2ND St
Spring Arbor, MI 49283-9647
Phone (517) 750-1900

300 Cherry St
Genoa, OH 43430-1823
Phone (574) 546-1900

5351 Mitchaw Rd
Sylvania, OH 43560-9406
Phone (574) 546-1900

990 Bayley Dr
Cincinnati, OH 45233-1664
Phone (574) 546-1900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Apr 1, 2017 Accepting new patients
Promedica Central Physicians CurrentSince Apr 1, 2017 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Guidestar Eldercare Corp -Oh Nurse Practitioner CurrentSince Dec 19, 2025 Accepting new patients

Locations

990 Bayley Dr
Cincinnati, OH 45233
Phone (513) 347-5500

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

21 E State St
Columbus, OH 43215
Phone (574) 546-1999

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

131 N Wheeling St
Toledo, OH 43605
Phone (419) 693-0751

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3909 Woodley Rd
Ste 100
Toledo, OH 43606
Phone (419) 473-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1851824916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7098 SIERRA LN",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481822319",
            "telephone_number": "419-360-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154281",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7098 Sierra Ln",
            "address_purpose": "LOCATION",
            "city": "Temperance",
            "state": "MI",
            "postal_code": "481822319",
            "country_code": "US",
            "telephone_number": "419-360-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZSCH",
        "first_name": "STACIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.