Individual provider Active NPI

Colleen M Brabander, FNP

  • Nurse Practitioner
  • North Ridgeville, OH
National Provider Identifier
1821768029
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LE-00038419 Issued in OH
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

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 2,248 clinicians
Parma Community General Hospital Association 31 clinicians

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 Hospital, Parma, OH, CCN 360041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00038419OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parma Community General Hospital Association CurrentSince Jan 15, 2022 Accepting new patients
Parma Community General Hospital Association CurrentSince Jan 15, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 28, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.