Individual provider

Chavonn Dedeaux, FNP-C

Family Nurse Practitioner Registered Nurse Licensed Practical Nurse Medicare enrolled

Chavonn Dedeaux, FNP-C is a Family Nurse Practitioner in Merrillville, IN, registered under NPI 1255717096. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5495 BROADWAY, Merrillville, IN 46410. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5495 BROADWAY, Merrillville, IN 46410 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
F03240103 IN Family Nurse Practitioner primary
28246104A IN Registered Nurse
27071592A IN Licensed Practical Nurse

This provider holds licence F03240103 issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8921533472
Enrollment ID
I20241121001211

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family F03240103 IN primary
163W00000X Registered Nurse 28246104A IN
164W00000X Licensed Practical Nurse 27071592A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255717096 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 4, 2015
Last updatedMar 20, 2024
StatusActive
Sole proprietorNo
GenderFemale
CredentialFNP-C
Practice address 5495 BROADWAY
Merrillville, IN 46410
(219) 884-4900
Mailing address 4187 JEFFERSON ST
Gary, IN 46408
Other names Chavonn Dedeaux Doing Business As
This record was updated on Mar 20, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1255717096 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 7 1 7 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 5 1 5 0 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255717096?
NPI 1255717096 is the National Provider Identifier assigned to Chavonn Dedeaux, FNP-C in Merrillville, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Chavonn Dedeaux, FNP-C?
The phone number on file with NPPES is (219) 884-4900, last updated Mar 20, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Chavonn Dedeaux, FNP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255717096 a valid number?
Yes. 1255717096 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.