Active NPI
Chasady L Freeze, CNP
- Family Health Clinical Nurse Specialist
- Bowling Green, OH
National Provider Identifier
1669726584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- COA.13674-NP
- Practice address
- 1039 Haskins Rd
Suite a
Bowling Green, OH 43402-9065 - Phone
- (419) 352-1121
- Fax
- (419) 352-1179
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | COA.13674-NP | OH | Primary |
Addresses
Primary practice location
1039 Haskins Rd
Suite a
Bowling Green, OH 43402-9065
Mailing address
745 Haskins Rd
Suite B
Bowling Green, OH 43402-1637
Phone (419) 353-7069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076970 | Medicaid | OH |
Other names 1
- Chasady L Coon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chasady.freeze.p1@direct.whc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1039 Haskins Rd
Bowling Green, OH 43402-9065
Phone (419) 352-1121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood Health Company LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607
1039 Haskins Rd
Unit A
Bowling Green, OH 43402
Phone (419) 352-1121
1039 Haskins Rd
Bowling Green, OH 43402
Phone (419) 352-1121
141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- chasady.freeze.p1@direct.whc.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bowling Green, OH
- NPI 1598776916
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blanchard Valley Hospital
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
dba Wood County Hospital
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1669726584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 HASKINS RD",
"address_2": "SUITE B",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021637",
"telephone_number": "419-353-7069",
"fax_number": "419-353-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 HASKINS RD",
"address_2": "SUITE A",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434029065",
"telephone_number": "419-352-1121",
"fax_number": "419-352-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEZE",
"first_name": "CHASADY",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "OH",
"license": "COA.13674-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076970",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chasady.freeze.p1@direct.whc.nextgenshare.com",
"affiliation": "N",
"address_1": "1039 Haskins Rd",
"address_2": "SUITE A",
"city": "Bowling Green",
"state": "OH",
"country_code": "US",
"postal_code": "434029065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHASADY",
"last_name": "COON",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.