Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Nicole Waugh, APRN-CNP

Individual provider Nurse Practitioner · NPI 1104202407

Jessica Nicole Waugh, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Graduated from Ohio State University College of Medicine in 2014, 12 years ago. Practices with Osu Surgery, LLC, a 204-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

300 W 10th Ave
Columbus, OH 43210-1280
Phone: (614) 293-9059
Fax: (614) 293-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.17205 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.17205 (OH)

Record details

NPI number1104202407
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbus