Active NPI
Chad Miley, CNP
- Adult Health Nurse Practitioner
- Ontario, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN.CNP.020129
- Practice address
- 715 Richland Mall
Ontario, OH 44906-3802 - Phone
- (419) 709-8650
- NPI assigned
- Oct 27, 2016
- Last updated
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.020129 | OH | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.020129 | OH |
Addresses
Primary practice location
715 Richland Mall
Ontario, OH 44906-3802
Mailing address
715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 709-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191230 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmiley484426@direct.osumc.edu |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Interoperability endpoints
- cmiley484426@direct.osumc.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Galion, OH
- NPI 1689822827
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
dba Bucyrus Community Hospital
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
dba GCH Health Services
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
dba Mansfield Laboratory Services
- Clinical Medical Laboratory
- Mansfield, OH
- NPI 1962888016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1992257794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 RICHLAND MALL",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449063802",
"telephone_number": "419-709-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 RICHLAND MALL",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449063802",
"telephone_number": "419-709-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEY",
"first_name": "CHAD",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-27",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.020129",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.020129",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0191230",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmiley484426@direct.osumc.edu",
"affiliation": "N",
"address_1": "715 Richland Mall",
"city": "Ontario",
"state": "OH",
"country_code": "US",
"postal_code": "449063802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.