Active NPI
Chelsia Danielle Derenard, CNP
- Family Nurse Practitioner
- Avon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.022549
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.022549 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Asana Palliative Cleveland LLC | Current | Accepting new patients | |
| Mercy Health-Allen Hospital LLC | Current | 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 | Past | 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
- 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ontario, OH
- NPI 1407313018
-
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- Rural Health Clinic/Center
- Lagrange, OH
- NPI 1306070594
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Community Based Hospice Care Agency
- Berea, OH
- NPI 1174010581
-
- Rural Health Clinic/Center
- Wellington, OH
- NPI 1780818963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.