Individual provider Active NPI

Chelsia Danielle Derenard, CNP

  • Family Nurse Practitioner
  • Avon, OH
National Provider Identifier
1972008662
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022549 Issued in OH
Practice address
1480 Center Rd
Avon, OH 44011-1239
Phone
(440) 937-4600
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022549 OH Primary

Addresses

Primary practice location

1480 Center Rd
Avon, OH 44011-1239

Mailing address

237 Butternut LN
Berea, OH 44017-1359
Phone (330) 323-2098

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
I20180417002537 OH Practitioner - Nurse Practitioner 5395008775 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022549OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2019 Accepting new patients
Asana Palliative Cleveland LLC CurrentSince Dec 6, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Aug 13, 2018 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health-Allen Hospital LLC Past Accepting new patients
Asana Hospice Cleveland, LLC PastSince Dec 6, 2021 Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

1171 E Main St
Ashland, OH 44805
Phone (419) 903-0300

885 W Bagley Rd
Berea, OH 44017
Phone (440) 835-2220

285 E State St
Ste 300
Columbus, OH 43215
Phone (614) 461-3629

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

Dept L3652
Columbus, OH 43260

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

105 Opportunity Way
Lagrange, OH 44050
Phone (440) 222-4160

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

41 Briggs Dr
Unit 3
Ontario, OH 44906
Phone (419) 903-0300

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: cderenard1163591@direct.osumc.edu

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1972008662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 BUTTERNUT LN",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171359",
            "telephone_number": "330-323-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CENTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111239",
            "telephone_number": "440-937-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERENARD",
        "first_name": "CHELSIA",
        "middle_name": "DANIELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.