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MINDY LYNN HICKENBOTTOM CNP
NPI 1881182632
Nurse Practitioner - Gerontology in Columbus, OH

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-9160 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Jul 13, 2018, Apr 27, 2018 (3 updates tracked since 2018).

About Mindy Lynn Hickenbottom Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDY LYNN HICKENBOTTOM CNP (NPI 1881182632) is an individual gerontology provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.022912) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881182632
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMINDY LYNN HICKENBOTTOMCredential: CNP
Location Address111 S GRANT AVEColumbus, OH 43215
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 566-9160
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 27, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1881182632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.022912
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.307815 (OH)
111 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mindy Lynn Hickenbottom Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416204045
PECOS Enrollment IDI20180727000512
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindy Hickenbottom's NPI number?

The NPI number for Mindy Hickenbottom is 1881182632. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Mindy Hickenbottom located?

Mindy Hickenbottom practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-9160.

What is Mindy Hickenbottom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mindy Hickenbottom enrolled in Medicare?

Yes. Mindy Hickenbottom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mindy Hickenbottom accept?

Health plans from CareSource and MedMutual list Mindy Hickenbottom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mindy Hickenbottom affiliated with any hospitals?

According to CMS data, Mindy Hickenbottom is affiliated with Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Mindy Hickenbottom was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.