Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chavonn L Dedeaux, FNP-C

Individual provider Family Nurse Practitioner · NPI 1255717096

Chavonn L Dedeaux, FNP-C is a Nurse Practitioner in Merrillville, Indiana. Qualified in 2023, 3 years ago. Practices with Edgewater Systems for Balanced Living Inc, a 6-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

5495 Broadway
Merrillville, IN 46410-1647
Phone: (219) 884-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1100 W 6th Ave, Gary, IN 46402-1711 — (219) 885-4264
  • 4747 W 24th Ave, Gary, IN 46406-2821 — (219) 885-4264
  • 3535 Broadway, Gary, IN 46409-1316 — (219) 884-4900

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F03240103 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28246104A (IN)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 27071592A (IN)

Record details

NPI number1255717096
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Edgewater Systems For Balanced Living Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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