Micah R Kishbaugh, APRN
Nurse Practitioner, Family in Huntington, WV. Individual provider (NPI-1).
NPI number1548035280
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1548035280
- Entity type
- Individual (NPI-1)
- Name
- Micah R Kishbaugh
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2023
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4009314 | KY | Yes |
Practice location
2900 1st Ave Ste 230Huntington, WV 25702-1241
Phone 304-525-3711
Mailing address
1448 10th Ave Ste 304Huntington, WV 25701-3579
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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