Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chadwick Boberg, CNP

Individual provider Family Nurse Practitioner · NPI 1639558711

Chadwick Boberg, CNP is a Nurse Practitioner in Bellefontaine, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Mary Rutan Hospital, a 89-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

205 Palmer Ave
Bellefontaine, OH 43311
Phone: (937) 592-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA.17410 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.273386 (OH)

Record details

NPI number1639558711
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESSeptember 17, 2015
Mailing address205 Palmer Avenue, Bellefontaine, OH 43311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Mary Rutan Hospital — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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