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

Kristina Nicole Knickerbocker, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1053045195

Kristina Nicole Knickerbocker, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2022, 4 years ago. Offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022

Practice location Address checks out

300 W 10th Ave Fl 1
Columbus, OH 43210-1280
Phone: (614) 293-4969
Fax: (614) 293-6111
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0031391 (OH)

Record details

NPI number1053045195
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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