Individual provider Active NPI

Sherlande Raphael-Hector, APRN-CNP

  • Primary Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1033760913
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.025677 Issued in OH
Practice address
480 Medical Center Dr
Columbus, OH 43210-1229
Phone
(855) 255-0550
Fax
(614) 366-4224
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.025677 OH Primary

Addresses

Primary practice location

480 Medical Center Dr
Columbus, OH 43210-1229

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (855) 255-0550

Other identifiers 1

IdentifierTypeStateIssuer
0404666MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 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
I20200313000238 NY Practitioner - Nurse Practitioner 3072941657 Reassigns benefits to 2 organizations
I20200610002203 OH Practitioner - Nurse Practitioner 3072941657 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hospice Services LLC CurrentSince Oct 11, 2023 Accepting new patients
Concerto Care Medical Group of New York, PC CurrentSince Jul 25, 2025 Accepting new patients
Heartland Hospice Services, LLC CurrentSince Oct 11, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Aug 30, 2022 Accepting new patients
Episource LLC Nurse Practitioner CurrentSince Aug 6, 2022 Accepting new patients
Heartland Hospice Services LLC Current Accepting new patients
Meritra Physicians LLC Past Accepting new patients
Access Medical Group LLC Past Accepting new patients

Locations

500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

300 International Dr
Ste 100
Williamsville, NY 14221
Phone (510) 387-1104

231 Springside Dr
Ste 140
Akron, OH 44333
Phone (330) 576-2930

116 Morris Rd
Ste B
Circleville, OH 43113
Phone (740) 420-0605

6500 Busch Blvd
Ste 210
Columbus, OH 43229
Phone (614) 433-0423

L2540
Columbus, OH 43260

Organizations & group practices 9

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1033760913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "855-255-0550",
            "fax_number": "614-366-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101229",
            "telephone_number": "855-255-0550",
            "fax_number": "614-366-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL-HECTOR",
        "first_name": "SHERLANDE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.025677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.