Individual provider Active NPI

Chasity Ann Kendall, CRNP

  • Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1871361014
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.NP.0034691 Issued in OH
Practice address
5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Phone
(419) 824-6599
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.NP.0034691 OH Primary
Nurse Practitioner 363L00000X SP925010 PA

Addresses

Primary practice location

5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174

Mailing address

2306 Gibley Park Rd
Toledo, OH 43617-2232
Phone (419) 618-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20240319001767 MI Practitioner - Nurse Practitioner 5890132427 Reassigns benefits to 2 organizations
I20240329001362 OH Practitioner - Nurse Practitioner 5890132427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0845

Hospital & facility affiliations

  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Fostoria Community Hospital Hospital, Fostoria, OH, CCN 361318
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.NP.0034691OHMDNurse Practitioner
SP925010PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital Current Accepting new patients
The Toledo Hospital CurrentSince Oct 14, 2024 Accepting new patients
The Toledo Hospital CurrentSince Oct 14, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Feb 13, 2024 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Promedica Central Physicians Nurse Practitioner CurrentSince Feb 13, 2024 Accepting new patients

Locations

5640 N Adrian Hwy
#C
Adrian, MI 49221
Phone (517) 577-0000

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057

2801 Bay Park Dr
Ste 2300
Oregon, OH 43616

2801 Bay Park Dr
#2300
Oregon, OH 43616

1620 Brigham Dr
Ste 110
Perrysburg, OH 43551
Phone (419) 891-5600

5308 Harroun Rd
Ste 155
Sylvania, OH 43560
Phone (419) 824-6100

5308 Harroun Rd
Ste 55
Sylvania, OH 43560
Phone (419) 824-6599

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Interoperability endpoints

  • Direct secure messaging: ckendall306858@direct.promedica.org

Organizations & group practices 8

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 7

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1871361014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 GIBLEY PARK RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172232",
            "telephone_number": "419-618-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 55",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174",
            "telephone_number": "419-824-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CHASITY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.NP.0034691",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP925010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.