CHAVONN L DEDEAUX FNP-C
NPI 1255717096
Nurse Practitioner - Family in Merrillville, IN

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
5495 BROADWAY, MERRILLVILLE, IN 46410(219) 884-4900 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chavonn L Dedeaux Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAVONN L DEDEAUX FNP-C (NPI 1255717096) is an individual family provider in Merrillville, Indiana, licensed in Indiana (F03240103) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255717096
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHAVONN L DEDEAUXCredential: FNP-C
Location Address5495 BROADWAYMerrillville, IN 46410-1647
Mailing Address4187 Jefferson StGary, IN 46408-2833 · (708) 271-3973
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 4, 2015
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1255717096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · F03240103
Also ListedRegistered NurseTaxonomy 163W00000X · License 28246104A (IN)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 27071592A (IN)
5495 BROADWAY, Merrillville, IN 46410

Other Names 1

Professional Name (2)Chavonn L Dedeaux Fnp-c

Secondary Practice Locations 3

Location 13535 BroadwayGary, IN 46409-1316 · Phone (219) 884-4900
Location 21100 W 6th AveGary, IN 46402-1711 · Phone (219) 885-4264
Location 34747 W 24th AveGary, IN 46406-2821 · Phone (219) 885-4264

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chavonn L Dedeaux Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921533472
PECOS Enrollment IDI20241121001211
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
5495 BROADWAY
MERRILLVILLE, IN 46410
Clinic/Center (Federally Qualified Health Center (FQHC))
5495 BROADWAY
MERRILLVILLE, IN 46410
Public Health or Welfare
5495 BROADWAY
MERRILLVILLE, IN 46410
Internal Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5495 BROADWAY
MERRILLVILLE, IN 46410
Family Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chavonn Dedeaux's NPI number?

The NPI number for Chavonn Dedeaux is 1255717096. It was assigned to this individual provider in the NPPES registry on August 4, 2015. The provider is also known as Chavonn L Dedeaux Fnp-C.

Where is Chavonn Dedeaux located?

Chavonn Dedeaux practices at 5495 Broadway, Merrillville, IN 46410. The listed phone number is (219) 884-4900.

What is Chavonn Dedeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chavonn Dedeaux enrolled in Medicare?

Yes. Chavonn Dedeaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chavonn Dedeaux accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Chavonn Dedeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chavonn Dedeaux affiliated with any hospitals?

According to CMS data, Chavonn Dedeaux is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Chavonn Dedeaux was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.