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

Charley Allen Roman, NP-C

Individual provider Family Nurse Practitioner · NPI 1063968469

Charley Allen Roman, NP-C is a Nurse Practitioner in Chillicothe, Ohio. Qualified in 2016, 10 years ago. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

17273 State Route 104
Chillicothe, OH 45601-9718
Phone: (740) 773-1141
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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 APRN.CNP.019791 (OH)

Record details

NPI number1063968469
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 30, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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