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

Q: 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.

Q: What is Chadwick Boberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since May 22, 2015PECOS Enrolled

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: October 25, 2026.

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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

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chadwick Boberg Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Chadwick Boberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Rutan Hospital

0.1 mi

General Acute Care Hospital

205 PALMER AVENUE
Bellefontaine, OH 43311

Reassigned Medicare billing, Ohio enrollment
131 clinicians in this Medicare group

NPI 1548254931 (937) 592-4015

Ohio Emergency Professionals Inc

49 mi

Emergency Medicine

50 W BROAD ST
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
474 clinicians in this Medicare group

NPI 1982983425 (440) 887-4718

Emergency Professional Services, Inc.

99 mi

Emergency Medicine

230 MEDICAL CENTER DR
Seaman, OH 45679

Reassigned Medicare billing, Ohio enrollment
894 clinicians in this Medicare group

NPI 1093762353 (937) 386-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Chadwick Boberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chadwick Boberg reassigns Medicare benefits to 3 organizations: Mary Rutan Hospital (Bellefontaine, OH), Ohio Emergency Professionals Inc (Columbus, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chadwick Boberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.