Individual provider Active NPI

Kacey Dawn Kersting, CNM, WHNP, FNP

  • Family Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1942421466
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.11705 Issued in OH
Practice address
10547 Montgomery Rd Ste 500-3
Montgomery, OH 45242-4418
Phone
(513) 400-4333
Fax
(855) 975-2404
NPI assigned
May 1, 2007
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.11705 OH Primary
Women's Health Nurse Practitioner 363LW0102X COA.11705NP OH
Midwife 176B00000X NM-08939 OH

Addresses

Primary practice location

10547 Montgomery Rd Ste 500-3
Montgomery, OH 45242-4418

Mailing address

5810 Samstone CT
Blue Ash, OH 45242-5753
Phone (513) 403-4333

Other practice location 1

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Other practice location 2

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (888) 731-8994

Other practice location 3

4254 W Orchid Ln
Chandler, AZ 85226-7246
Phone (888) 731-8994

Other practice location 4

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 5

112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994

Other practice location 6

429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (888) 731-8994

Other practice location 7

699 Walnut St Ste 4
Des Moines, IA 50309-3949
Phone (888) 731-8994

Other practice location 8

4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587
Phone (888) 731-8994

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Kacey.Kersting@joinmidi.com Direct
CONNECT URL www.kerstingcw.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NM-08939OHMDMidwife
APRN.CNP.11705OHMDFamily Nurse Practitioner
COA.11705NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kacey.kersting.1@27069.direct.athenahealth.com
  • Direct secure messaging: kacey.kersting@joinmidi.com
  • Direct secure messaging: kkersting@shwhc.gwaydirect.com

Organizations & group practices 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1942421466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 SAMSTONE CT",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425753",
            "telephone_number": "513-403-4333",
            "fax_number": "855-975-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD STE 500-3",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "513-400-4333",
            "fax_number": "855-975-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4254 W Orchid Ln",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852267246",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Maverick Ct",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760491381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 4th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191500",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Walnut St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093949",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Faber Place Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058587",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSTING",
        "first_name": "KACEY",
        "middle_name": "DAWN",
        "credential": "CNM, WHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.11705",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.11705NP",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "NM-08939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kacey.Kersting@joinmidi.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "14355 Miranda Way",
            "city": "Los Altos Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940222032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kerstingcw.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "10547 Montgomery Rd Ste 500-3",
            "city": "Montgomery",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452424418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.