Donella Raye Chadwick-Kermeen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A154776 Issued in IA

Practice address

3424 W Broadway
Council Bluffs, IA 51501-3211

Phone

(712) 796-3481

Fax

(712) 355-5955

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Essence Med LLC

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1750952875

  IA

  Medicare reassignment NPD
• Essence Nebraska LLC

  • Family Medicine Physician
  • Papillion, NE
  • NPI 1306638937

  NE

  Medicare reassignment NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  IA

  Medicare reassignment NPD
• Chiropractic Essence PLLC

  • Chiropractor
  • Council Bluffs, IA
  • NPI 1326601337
  NPD
• Stlyz

  • Family Medicine Physician
  • Papillion, NE
  • NPI 1063089795
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1164089025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013211",
            "telephone_number": "712-796-3481",
            "fax_number": "712-355-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013211",
            "telephone_number": "712-796-3481",
            "fax_number": "712-355-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK-KERMEEN",
        "first_name": "DONELLA",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "099298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Healing and Hope, LLC
• Center of Developmental Disability LLC
• Amy Cerra
• Gilbert John Cerveny, LMHC
• Alison Marie Chab
• Ann Chambers, RDH
• Chapters Council Bluffs Opco LLC
• Chartwell Pharmacy LLC
• Emily Chavez, NP
• Yuttana Chawengsub, M.D., PH.D.

• All providers in Council Bluffs, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.