Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Tillis, APRN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1407633860

Benjamin Tillis, APRN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Columbus, Ohio. Qualified in 2024, 2 years ago. Practices with Osu Observation Medicine, LLC, a 419-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.0021129 (OH)

Record details

NPI number1407633860
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CRNA
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Osu Observation Medicine, Llc — 419 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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