Individual provider Active NPI

Brenda K Dequasie, APRN-BC

  • Family Nurse Practitioner
  • Pomeroy, OH
National Provider Identifier
1861881575
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 18497-NP Issued in OH
Practice address
33101 Hiland Rd
Suite B
Pomeroy, OH 45769-9759
Phone
(740) 992-0220
Fax
(740) 992-0223
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55406 WV
Family Nurse Practitioner 363LF0000X COA 18497-NP OH Primary

Addresses

Primary practice location

33101 Hiland Rd
Suite B
Pomeroy, OH 45769-9759

Mailing address

33101 Hiland Rd
Suite B
Pomeroy, OH 45769-9759
Phone (740) 992-0220

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
I20160701001046 OH Practitioner - Nurse Practitioner 2668790254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Recovery Services IncGroup PAC ID 5890729412, 7 clinicians

Practice addresses (Care Compare)

120 Twin Oaks Dr
Jackson, OH 45640-9506
Phone (740) 577-3450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 18497-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc CurrentSince Sep 15, 2018 Accepting new patients
Health Recovery Services, Inc CurrentSince Sep 15, 2018 Accepting new patients

Locations

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

10050 Bassett Rd
Athens, OH 45701
Phone (740) 594-8108

224 Columbus Rd
Athens, OH 45701
Phone (740) 592-6720

45 Olive St
Gallipolis, OH 45631
Phone (740) 446-7010

120 Twin Oaks Dr
Jackson, OH 45640
Phone (740) 570-3450

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1861881575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33101 HILAND RD",
            "address_2": "SUITE B",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699759",
            "telephone_number": "740-992-0220",
            "fax_number": "740-992-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33101 HILAND RD",
            "address_2": "SUITE B",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699759",
            "telephone_number": "740-992-0220",
            "fax_number": "740-992-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUASIE",
        "first_name": "BRENDA",
        "middle_name": "K",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "55406",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 18497-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, OH

Sources for this page

Verify at the official NPI Registry.