Chloe Harless, DO

Individual provider Active NPI Family Medicine Physician · Nelsonville, OH

NPI 1558064964 · NPPES record last updated Jul 21, 2026

Key facts

NPI
1558064964
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
58.033407 (OH)
Practice address
11 John Lloyd Evans Memorial Dr Ste 200
Nelsonville, OH 45764-2523
Phone
(740) 753-7323
Fax
(740) 753-7388
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230717002280 OH Order and Referring Only - Family Practice
Practitioner - Family Practice
4082074455

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.033407 OH Yes

Addresses

Primary practice location

11 John Lloyd Evans Memorial Dr Ste 200
Nelsonville, OH 45764-2523

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address charless947705@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Other providers in Nelsonville, OH

All providers in Nelsonville, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.