Individual provider Active NPI

Candice Kilbarger, APRN

  • Family Nurse Practitioner
  • Logan, OH
National Provider Identifier
1417575200
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027033 Issued in OH
Practice address
14474 St RT 328
Logan, OH 43138
Phone
(740) 380-8240
Fax
(740) 380-5553
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027033 OH Primary

Addresses

Primary practice location

14474 St RT 328
Logan, OH 43138

Mailing address

14474 St RT 328
Logan, OH 43138
Phone (740) 380-8240

Other practice location 1

300 Polaris Pkwy Ste 1050
Westerville, OH 43082-7989
Phone (614) 566-2280

Other practice location 2

580 Office Pkwy Ste 110
Westerville, OH 43082-8648
Phone (614) 699-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212000747 OH Practitioner - Nurse Practitioner 5597170126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2021 Accepting new patients
Hocking Valley Community Hospital Past Accepting new patients
Intervalmed Cardiology LLC PastSince Dec 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5141 W Broad St
Ste 180
Columbus, OH 43228
Phone (614) 544-1460

285 E State St
Ste 300
Columbus, OH 43215
Phone (614) 461-3629

300 Polaris Pkwy
Ste 1050
Westerville, OH 43082
Phone (614) 566-2280

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19506/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ckilbarger344754@direct.osumc.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1417575200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14474 ST RT 328",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "43138",
            "telephone_number": "740-380-8240",
            "fax_number": "740-380-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14474 ST RT 328",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "43138",
            "telephone_number": "740-380-8240",
            "fax_number": "740-380-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Polaris Pkwy Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827989",
            "country_code": "US",
            "telephone_number": "614-566-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Office Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828648",
            "country_code": "US",
            "telephone_number": "614-699-5700",
            "fax_number": "855-799-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBARGER",
        "first_name": "CANDICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.