Individual provider Active NPI

Deana Marie Kehres, MSN, CNS, AOCNS

  • Oncology Clinical Nurse Specialist
  • Sandusky, OH
National Provider Identifier
1013154376
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
COA09312 Issued in OH
Practice address
701 Tyler St
Sandusky, OH 44870-3321
Phone
(419) 557-6959
Fax
(419) 557-7533
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X COA09312 OH Primary

Addresses

Primary practice location

701 Tyler St
Sandusky, OH 44870-3321

Mailing address

701 Tyler St
Sandusky, OH 44870-3321
Phone (419) 557-6959

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
I20121212000604 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9739331000 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA09312OHMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid West Sleep Consultants, LLC CurrentSince Mar 31, 2020 Accepting new patients
Wyandot Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Wyandot Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Richland Pulmonary and Critical Care Associates Inc PastSince Mar 31, 2020 Accepting new patients

Locations

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

427 Glessner Ave
Mansfield, OH 44903
Phone (419) 520-2813

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 4

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1013154376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TYLER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703321",
            "telephone_number": "419-557-6959",
            "fax_number": "419-557-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TYLER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703321",
            "telephone_number": "419-557-6959",
            "fax_number": "419-557-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRES",
        "first_name": "DEANA",
        "middle_name": "MARIE",
        "credential": "MSN, CNS, AOCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "OH",
            "license": "COA09312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.