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

Kelly J Blickensderfer, CFNP

Individual provider Nurse Practitioner · NPI 1528145026

Kelly J Blickensderfer, CFNP is a Nurse Practitioner in Bowling Green, Ohio. Graduated from Medical College of Ohio in 2006, 20 years ago. Practices with Wood Health Company LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Trained at
Medical College of Ohio
Licensed in
OH
In the registry since
2006

Practice location Address checks out

1215 Ridgewood Dr Ste B
Bowling Green, OH 43402-2690
Phone: (419) 352-9071
Fax: (419) 352-9073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence COA.09007-NP (OH)

Record details

NPI number1528145026
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2006 (20 years in practice)
Group practice Wood Health Company Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green