Individual provider Active NPI

Charles A Noe, APRN-CNP

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1285100040
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024169 Issued in OH
Practice address
651 S Limestone St
Springfield, OH 45505-1965
Phone
(937) 324-1111
Fax
(937) 525-4543
NPI assigned
Oct 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024169 OH Primary

Addresses

Primary practice location

651 S Limestone St
Springfield, OH 45505-1965

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other practice location 1

1331 N Fairfield Rd
Beavercreek, OH 45432-2643
Phone (937) 426-4478

Other practice location 2

8120 Garnet Dr
Dayton, OH 45458-2141
Phone (513) 834-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190304002324 OH Practitioner - Nurse Practitioner 4082953369 Reassigns benefits to 2 organizations
I20241117000118 NC Practitioner - Nurse Practitioner 4082953369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jun 26, 2023 Accepting new patients
Brightview LLC CurrentSince Jun 26, 2023 Accepting new patients
Boulder Care Provider Group PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

8120 Garnet Dr
Dayton, OH 45458
Phone (937) 291-2511

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Portland, OR 97204
Phone (888) 316-0451

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1285100040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322643",
            "country_code": "US",
            "telephone_number": "937-426-4478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8120 Garnet Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454582141",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOE",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.