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

Ross S Wickstrom, CNP

Individual provider Family Nurse Practitioner · NPI 1003265364

Ross S Wickstrom, CNP is a Nurse Practitioner in Wilmington, Ohio. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2016, 10 years ago. Practices with Trihealth G LLC, a 295-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1184 W Locust St
Wilmington, OH 45177-2009
Phone: (937) 382-1616
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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.19152 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.19152-NP (OH)

Record details

NPI number1003265364
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address1184 W Locust St, Wilmington, OH 45177-2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Trihealth G Llc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmington