Individual provider Active NPI

Pamela Kibbe, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1457438566
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.06170 Issued in OH
Practice address
3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone
(614) 754-5500
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.06170 OH Primary

Addresses

Primary practice location

3400 Olentangy River Rd
Columbus, OH 43202-1523

Mailing address

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone (614) 754-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct

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
I20040824001491 OH Practitioner - Nurse Practitioner 3971577933 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.06170OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2022 Accepting new patients
Ohio Gastroenterology Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Osu Internal Medicine, LLC CurrentSince Oct 18, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Internal Medicine, LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

85 McNaughten Rd
Ste 320
Columbus, OH 43213
Phone 61475455005545

Dept L3652
Columbus, OH 43260

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

3555 Olentangy River Rd
Ste 3010
Columbus, OH 43214
Phone (614) 566-5150

410 W 10th Ave
#2N
Columbus, OH 43210

3400 Olentangy River Rd
Columbus, OH 43202
Phone (614) 754-5545

L3977
Columbus, OH 43260

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

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

6670 Perimeter Dr
Ste 200
Dublin, OH 43016

722 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 754-5455

3000 Meadow Pond Ct
Ste 500
Grove City, OH 43123
Phone (614) 505-7511

1025 Refugee Rd
Ste 100A
Pickerington, OH 43147

430 Altair Pkwy
Ste 110
Westerville, OH 43082

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1457438566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021523",
            "telephone_number": "614-754-5500",
            "fax_number": "614-754-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021523",
            "telephone_number": "614-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBBE",
        "first_name": "PAMELA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.06170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432021523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.