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CHADWICK BOBERG CNP
NPI 1639558711
Nurse Practitioner - Family in Bellefontaine, OH

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
205 PALMER AVENUE, BELLEFONTAINE, OH 43311(937) 592-4015 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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, is affiliated with Mary Rutan Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2015).

NPPES Registry Identity

NPI1639558711
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHADWICK BOBERGCredential: CNP
Location Address205 PALMER AVENUEBellefontaine, OH 43311
Mailing Address205 Palmer AvenueBellefontaine, OH 43311 · (937) 592-4015
Phone(937) 592-4015
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1639558711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.17410
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.273386 (OH)
205 PALMER AVENUE, Bellefontaine, OH 43311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chadwick Boberg Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911210943
PECOS Enrollment IDI20150721000707
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THE PATHOLOGY CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
205 PALMER AVENUE
BELLEFONTAINE, OH 43311
Logan County (937) 592-4015
MARY RUTAN HOSPITAL
General Acute Care Hospital
205 PALMER AVENUE
BELLEFONTAINE, OH 43311
Logan County (937) 592-4015
JESSICA QUANTZ CULLIVAN MD
Hospitalist
205 PALMER AVENUE
BELLEFONTAINE, OH 43311
Logan County (937) 599-7018

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.

Is Chadwick Boberg affiliated with any hospitals?

According to CMS data, Chadwick Boberg is affiliated with Mary Rutan Hospital.

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 10 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.