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

Individual provider Acute Care Nurse Practitioner · NPI 1730604265

Kimberly Michelle Ichrist, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-5066
Fax: (614) 293-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.021438 (OH)

Record details

NPI number1730604265
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 5, 2017
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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