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

Individual provider Family Nurse Practitioner · NPI 1750797064

Matthew R Granger, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2014, 12 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

452 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-7677
Fax: (614) 293-5614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.15907 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.15907 (OH)

Record details

NPI number1750797064
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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