MEDICARE: NEXTGEN NURSE PRACTITIONER GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1780558171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTGEN NURSE PRACTITIONER GROUP

Provider Business Mailing Address
First Line	:	PO BOX 113
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-0113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1199 DELAWARE AVE STE 106
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-7462
Country	:	US
Telephone Number	:	740-387-5584
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RONALD LITMAN
Credential	:	DNP, APRN-CNP
Telephone Number	:	330-209-9689

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	12/13/2025

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