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

Mindy Lynn Hickenbottom, CNP

Individual provider Registered Nurse · NPI 1881182632

Mindy Lynn Hickenbottom, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2018, 8 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

111 S Grant Ave
Columbus, OH 43215
Phone: (614) 566-9160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.022912 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.307815 (OH)

Record details

NPI number1881182632
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedApril 27, 2018
Last updated in NPPESJune 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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