Individual provider Active NPI

Deanna Krell, NP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1700258647
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18306-NP Issued in OH
Practice address
20 Fairlawn Ave
Youngstown, OH 44505-2143
Phone
(330) 759-6000
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18306-NP OH Primary

Addresses

Primary practice location

20 Fairlawn Ave
Youngstown, OH 44505-2143

Mailing address

845 Oakridge Dr
Boardman, OH 44512-3533
Phone (330) 507-7971

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
I20230519000520 OH Practitioner - Nurse Practitioner 5597121418 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18306-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Aug 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Feb 17, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: deanna.krell@779530956636164.direct.elationemr.com

Organizations & group practices 2

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1700258647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 OAKRIDGE DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123533",
            "telephone_number": "330-507-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FAIRLAWN AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052143",
            "telephone_number": "330-759-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRELL",
        "first_name": "DEANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18306-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.