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

Individual provider Nurse Practitioner · NPI 1578445243

Lerato Denise Modiselle, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2024, 2 years ago. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-5066
Fax: (614) 293-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence APRN.CNP.0038168 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0038168 (OH)

Record details

NPI number1578445243
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 23, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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