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Deactivated NPI 1801104302 Deactivated / Inactive NPI Female Practitioner

Ellen J Dehaven , FNP-BC

Registered Nurse • Roanoke, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen Dehaven has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 17, 2010
NPI Deactivation Date September 16, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Ellen Dehaven, FNP-BC was a registered Registered Nurse practicing in Roanoke, VA. Throughout an active medical career spanning 12 years, Ellen Dehaven provided care at the practice location at 3 RIVERSIDE CIRCLE until profile deactivation on 2022-09-16.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Circle
Carilion Clinic General And Breast Surgery

Roanoke, VA 24016

Telephone 5402245170
Fax 5409838212
Associated Practice Facility / Clinic
🏢 Carilion Medical Center Facility NPI 1982908547

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
42 Specialists

Practicing in Roanoke, VA (1328 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
133 128 $65.00 $43.45

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License VA 0001195805

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Dr. John Fraser , MD

Neurological Surgery

NPI 1013987270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 16, 2022

Record deactivated on September 16, 2022

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2011

Registered at 3 RIVERSIDE CIRCLE, CARILION CLINIC GENERAL AND BREAST SURGERY, ROANOKE, VA 24016 (Tel: 5402245170)

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Updated Business Mailing Address April 06, 2011

Registered at 3 RIVERSIDE CIRCLE, CARILION CLINIC GENERAL AND BREAST SURGERY, ROANOKE, VA 24016 (Tel: 5402245170)

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Provider Name / Credentials Updated April 06, 2011

Recorded as ELLEN DEHAVEN, FNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Registered Nurse (License #0001195805 in VA)

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Initial NPI Registration & Enumeration September 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801104302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2010
Last Update: April 06, 2011
Deactivation Date: September 16, 2022

Mailing Address

3 Riverside Circle, Carilion Clinic General And Breast Surgery

Roanoke, VA 24016

Phone: 5402245170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.