Active NPI
Lindsay Chappell, C.N.P.
- Primary Care Nurse Practitioner
- Fairlawn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- COA 16182 NP
- Practice address
- 55 Merz Blvd
Suite a
Fairlawn, OH 44333-2895 - Phone
- (330) 864-9000
- Fax
- (330) 864-9004
- NPI assigned
- Jul 17, 2014
- Last updated
- Mar 14, 2023
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | COA 16182 NP | OH | Primary |
Addresses
Primary practice location
55 Merz Blvd
Suite a
Fairlawn, OH 44333-2895
Mailing address
55 Merz Blvd
Suite a
Fairlawn, OH 44333-2895
Phone (330) 864-9000
Other practice location 1
1790 Town Park Blvd Ste A
Uniontown, OH 44685-7972
Phone (330) 864-9000
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536
55 Merz Blvd
Fairlawn, OH 44333-2895
55 Merz Blvd a
Fairlawn, OH 44333-2895
Phone (330) 864-9000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 16182 NP | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairlawn Dermatology, LLC | Current | Accepting new patients | |
| Dermatologists of Southwestern Ohio, LLC. | Current | Accepting new patients |
Locations
5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536
55 Merz Blvd
Unit A
Fairlawn, OH 44333
Phone (330) 253-7164
1790 Town Park Blvd
Ste A
Green, OH 44685
Phone (330) 864-9000
Interoperability endpoints
- lchappell@fairlawnderm.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dermatologists of Southwest Ohio, LLC
- Dermatology Physician
- Dayton, OH
- NPI 1801819883
-
- Medical Specialty Clinic/Center
- Fairlawn, OH
- NPI 1356376917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1992112312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MERZ BLVD",
"address_2": "SUITE A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332895",
"telephone_number": "330-864-9000",
"fax_number": "330-864-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MERZ BLVD",
"address_2": "SUITE A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332895",
"telephone_number": "330-864-9000",
"fax_number": "330-864-9004"
}
],
"practiceLocations": [
{
"address_1": "1790 Town Park Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "OH",
"postal_code": "446857972",
"country_code": "US",
"telephone_number": "330-864-9000",
"fax_number": "330-864-9004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPPELL",
"first_name": "LINDSAY",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "COA 16182 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.