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

Holly Blickenstaff, PA-C

Individual provider Physician Assistant · NPI 1174334122

Holly Blickenstaff, PA-C is a Physician Assistant in Brandon, Florida. Qualified in 2024, 2 years ago. Practices with Francis a Caban MD PA, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

109 Margaret St
Brandon, FL 33511-5203
Phone: (813) 654-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174334122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 17, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Francis A Caban Md Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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