Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicolai S Gerhartz, PA-C

Individual provider Nurse's Aide · NPI 1790188498

Nicolai S Gerhartz, PA-C is a Physician Assistant in Kewaskum, Wisconsin. Qualified in 2018, 8 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

W832 County Rd S
Kewaskum, WI 53040-1116
Phone: (262) 384-0772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4605-23 (WI)
Nurse's Aide Taxonomy 376K00000X · Licence 3633250 (WI)

Record details

NPI number1790188498
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare