Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Randall, CNP

Individual provider Family Nurse Practitioner · NPI 1194584128

Marissa Randall, CNP is a Nurse Practitioner in Westerville, Ohio. Graduated from University of Cincinnati College of Medicine in 2022, 4 years ago. Licensed in Ohio.

Years since qualifying
4
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

620 S Cleveland Ave
Westerville, OH 43081-8970
Phone: (614) 891-9771
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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.0034974 (OH)

Record details

NPI number1194584128
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address4612 Commons Park Dr, New Albany, OH 43054-8758

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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