Active NPI
Colleen M Brabander, FNP
- Nurse Practitioner
- North Ridgeville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LE-00038419
- Practice address
- 6466 Fawn LN
North Ridgeville, OH 44039-5840 - Phone
- (216) 287-1421
- NPI assigned
- Sep 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LE-00038419 | OH | Primary |
Addresses
Primary practice location
6466 Fawn LN
North Ridgeville, OH 44039-5840
Mailing address
6466 Fawn LN
North Ridgeville, OH 44039-5840
Phone (216) 287-1421
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419001818 | OH | Practitioner - Nurse Practitioner | 3678960754 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Medical Group IncParma Community General Hospital Association
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
7007 Powers Blvd
Parma, OH 44129-5437
Phone (440) 743-3000
Hospital & facility affiliations
- Parma Community General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-00038419 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parma Community General Hospital Association | Current | Accepting new patients | |
| Parma Community General Hospital Association | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Cottle Pathology Services, Inc | Current | Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
Interoperability endpoints
- cbrabander28202@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
OH
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- Rehabilitation Hospital Unit
- Parma, OH
- NPI 1508826280
-
- Anatomic Pathology & Clinical Pathology Physician
- Parma, OH
- NPI 1922081405
-
- Community Based Hospice Care Agency
- Parma, OH
- NPI 1356301071
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631923200000",
"number": "1821768029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6466 FAWN LN",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440395840",
"telephone_number": "216-287-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6466 FAWN LN",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440395840",
"telephone_number": "216-287-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRABANDER",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-18",
"last_updated": "2021-09-18",
"certification_date": "2021-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "LE-00038419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.