Charley Allen Roman, NP-C - Medicare Nurse Practitioner in Chillicothe, OH

Charley Allen Roman, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Chillicothe, Ohio. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 17273 State Route 104, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 773-1141.

Charley Allen Roman is licensed to practice in Ohio (license number APRN.CNP.019791) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063968469.

Contact Information

Charley Allen Roman, NP-C
17273 State Route 104,
Chillicothe, OH 45601-9718
(740) 773-1141
Not Available

Map and Direction




Provider's Profile

Full NameCharley Allen Roman
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location17273 State Route 104, Chillicothe, Ohio
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charley Allen Roman graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1063968469
  • Provider Enumeration Date: 08/26/2016
  • Last Update Date: 08/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719109008
  • Enrollment ID: I20180712001608

Medical Identifiers

Medical identifiers for Charley Allen Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063968469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.019791 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Greenfield Area Medical CenterGreenfield, OHHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charley Allen Roman allows following entities to bill medicare on his behalf.
Entity NameNorth Creek Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457858797
PECOS PAC ID: 4284989377
Enrollment ID: O20180613001263
Entity NamePure Health Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922501691
PECOS PAC ID: 9234479163
Enrollment ID: O20190312003623
Entity NameRoman Family Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821654674
PECOS PAC ID: 2264764273
Enrollment ID: O20191024000618

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charley Allen Roman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charley Allen Roman, NP-C
17273 State Route 104,
Chillicothe, OH 45601-9718

Ph: () -
Charley Allen Roman, NP-C
17273 State Route 104,
Chillicothe, OH 45601-9718

Ph: (740) 773-1141

Reviews and Comments


Nurse Practitioner Nurses in Chillicothe, OH

Ronald Lee Denney Jr., CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17273 State Route 104, Chillicothe, OH 45601
Phone: 740-592-7220    
Traci A Powell, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601
Phone: 740-779-8728    Fax: 740-775-7855
Mrs. Lisa Elaine Vires, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4457 State Route 159, Chillicothe, OH 45601
Phone: 740-779-7813    
Carissa Mitchell, APRN. CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4435 State Route 159, Chillicothe, OH 45601
Phone: 740-542-3030    
Mrs. Megan D Kessler, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17273 State Route 104, Chillicothe, OH 45601
Phone: 740-773-1141    
Thomas Shane Morgan, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17273 State Route 104, Chillicothe, OH 45601
Phone: 740-773-1141    
Jessica Dawn Yacques, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 455 Shawnee Ln, Chillicothe, OH 45601
Phone: 740-779-4888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.