Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Patricia McKibben, APRN-CNP

Individual provider Adult Health Nurse Practitioner · NPI 1265810618

Holly Patricia McKibben, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2015, 11 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Ohio.

Years since qualifying
11
Licensed in
CO, OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

395 W 12th Ave Rm 460
Columbus, OH 43210-1267
Phone: (614) 293-8315
Fax: (614) 293-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-0003
  • 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 — (614) 566-9550

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.17868 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APN.0996479-NP (CO)

Record details

NPI number1265810618
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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