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

Mr. Roger M List, APRN-CNP

Individual provider Adult Health Nurse Practitioner · NPI 1215223995

Mr. Roger M List, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2010, 16 years ago. Practices with Osu Surgery, LLC, a 204-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2011
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Practice location Address checks out

452 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone: (614) 293-5502
Fax: (614) 293-7221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.12375 (OH)

Record details

NPI number1215223995
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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