Provider Demographics
NPI:1295185882
Name:CHASE, KAREN M (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:CHASE
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MAY
Other - Last Name:DEGROFT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-685-2805
Mailing Address - Fax:614-293-1783
Practice Address - Street 1:642 E BROAD ST
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7627
Practice Address - Country:US
Practice Address - Phone:614-685-2805
Practice Address - Fax:614-293-1783
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704271180363L00000X, 363LP2300X
OHAPRN.CNP.0036498363LF0000X, 363L00000X
KY4017769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care