Individual provider Active NPI

Malaika Rochelle Chaney, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1932704848
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027748 Issued in OH
Practice address
5193 W Broad St Ste 200
Columbus, OH 43228-1695
Phone
(614) 544-1450
Fax
(614) 544-1451
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0027748 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0027748 OH Primary

Addresses

Primary practice location

5193 W Broad St Ste 200
Columbus, OH 43228-1695

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

600 W 3rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191 ext. 2068

Other names 1

  • Malaika Quick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mquick171045@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20210312002007 OH Practitioner - Nurse Practitioner 3274949458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

5193 W Broad St
Suite 200
Columbus, OH 43228-1695
Phone (614) 777-5853

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027748OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 1, 2024 Accepting new patients
Third Street Community Clinic Inc CurrentSince Jul 8, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

5193 W Broad St
Ste 200
Columbus, OH 43228
Phone (614) 544-1450

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

200 Park Ave W
Mansfield, OH 44902
Phone (419) 522-2239

205 W Cook Rd
Mansfield, OH 44907
Phone (567) 309-7333

270 Sterkel Blvd
Ste A
Mansfield, OH 44907
Phone (419) 526-7866

1404 Park Ave W
Ste 2
Ontario, OH 44906

600 W 3rd St
Ontario, OH 44906
Phone (419) 525-6722

Organizations & group practices 3

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1932704848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5193 W BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281695",
            "telephone_number": "614-544-1450",
            "fax_number": "614-544-1451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449062633",
            "country_code": "US",
            "telephone_number": "419-522-6191 x2068",
            "fax_number": "419-525-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MALAIKA",
        "middle_name": "ROCHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0027748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mquick171045@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "5193 W Broad St Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432281695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MALAIKA",
            "last_name": "QUICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.