Individual Healthcare Provider
Jill R Ferdelman, PNP
Provider's NPPES record last updated: October 21, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1811042963
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Springboro, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:53 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- APRN.CNP.00235
- Nurse Practitioner (Ohio)
- APRN.CNP.00235
Practice Locations
Practice Location
662 N Main St
Springboro, Ohio 45066-9553
Phone: (937) 641-5066
Additional Practice Location
8501 Old Troy Pike
Huber Heights, Ohio 45424-1054
Phone: (937) 641-4360
Fax: (937) 641-3791
Additional Practice Location
7787 Cox Ln
West Chester, Ohio 45069-6549
Phone: (937) 641-5757
Fax: (513) 847-1192
Additional Practice Location
3333 W Tech Blvd
Miamisburg, Ohio 45342-0955
Phone: (937) 641-3000
Fax: (937) 641-4500
Additional Practice Location
8809 Wilkens Blvd
Mason, Ohio 45040-7390
Phone: (937) 641-4999
Fax: (513) 204-0292
Record Information
- Enumeration Date
- January 25, 2007
- Provider's NPPES Record Last Updated
- October 21, 2021
- Certification Date
- October 21, 2021
- NPISignal NPPES Dataset
- August 2026
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