CHAVONN L DEDEAUX FNP-C
NPI 1255717096
Nurse Practitioner - Family in Merrillville, IN
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Chavonn Dedeaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INPhysician 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.
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.
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
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.
Which organization bills Medicare for Chavonn Dedeaux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chavonn Dedeaux reassigns Medicare benefits to Edgewater Systems For Balanced Living, Inc (Merrillville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chavonn Dedeaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Chavonn L Dedeaux, FNP-C · NPI 1255717096
Family physician in Merrillville, Indiana. Individual provider, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1255717096 (Entity type: Individual)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F03240103 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5495 BROADWAY, Merrillville, IN 46410-1647
- **Phone:** (219) 884-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Edgewater Systems For Balanced Living, Inc (NPI 1407457591, Merrillville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255717096) · Data from the CMS NPPES public registry.