Individual provider Active NPI

Lindsay Chappell, C.N.P.

  • Primary Care Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1992112312
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
COA 16182 NP Issued in OH
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150126002282 OH Practitioner - Nurse Practitioner 8527382365 Reassigns benefits to 2 organizations

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
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians
Fairlawn Dermatology LLCGroup PAC ID 4789616806, 4 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
COA 16182 NPOHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairlawn Dermatology, LLC CurrentSince Dec 3, 2014 Accepting new patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince Feb 15, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.