CHADWICK BOBERG CNP
NPI 1639558711
Nurse Practitioner - Family in Bellefontaine, OH
About Chadwick Boberg Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHADWICK BOBERG CNP (NPI 1639558711) is an individual family provider in Bellefontaine, Ohio, licensed in Ohio (COA.17410) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chadwick Boberg Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BELLEFONTAINE, OH 43311
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chadwick Boberg's NPI number?
The NPI number for Chadwick Boberg is 1639558711. It was assigned to this individual provider in the NPPES registry on May 22, 2015.
Where is Chadwick Boberg located?
Chadwick Boberg practices at 205 Palmer Avenue, Bellefontaine, OH 43311. The listed phone number is (937) 592-4015.
What is Chadwick Boberg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chadwick Boberg enrolled in Medicare?
Yes. Chadwick Boberg is registered in the Medicare PECOS enrollment system.
What insurance does Chadwick Boberg accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and MedMutual and 1 other insurer list Chadwick Boberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chadwick Boberg was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chadwick Boberg, CNP · NPI 1639558711
Family physician in Bellefontaine, Ohio. Individual provider, active in the CMS NPPES registry since May 22, 2015.
## Identity
- **NPI:** 1639558711 (Entity type: Individual)
- **Enumerated:** May 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** COA.17410 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 PALMER AVENUE, Bellefontaine, OH 43311
- **Phone:** (937) 592-4015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1639558711) · Data from the CMS NPPES public registry.