Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ricky A Cantrell Jr., APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1154995512

Mr. Ricky A Cantrell Jr., APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2021, 5 years ago. Practices with Osu Neuroscience Center, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-4969
Fax: (614) 293-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0028994 (OH)

Record details

NPI number1154995512
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osu Neuroscience Center, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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