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JOHNATHAN HIBBS NURSE PRACTITIONER
NPI 1215588033
Nurse Practitioner - Gerontology in Mason, OH

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
5470 KINGS ISLAND DRIVE, STE 120, MASON, OH 45040(513) 791-4490(513) 791-7287 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Johnathan Hibbs Nurse Practitioner NPPES

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

JOHNATHAN HIBBS NURSE PRACTITIONER (NPI 1215588033) is an individual gerontology provider in Mason, Ohio, licensed in Ohio (APRN.CNP.025755) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215588033
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJOHNATHAN HIBBSCredential: NURSE PRACTITIONER
Location Address5470 KINGS ISLAND DRIVE, STE 120Mason, OH 45040
Mailing Address5470 Kings Island Drive, Ste 120Mason, OH 45040 · (513) 791-4490 · Fax (513) 791-7287
Phone(513) 791-4490
Fax(513) 791-7287
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 23, 2019
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1215588033 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.025755
Also ListedNurse PractitionerTaxonomy 363L00000X · License 405604 (OH), CNP.025755 (OH)
5470 KINGS ISLAND DRIVE, Mason, OH 45040
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 475-8282 · Fax (513) 458-1986

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Johnathan Hibbs Nurse Practitioner 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 ID4486035862
PECOS Enrollment IDI20220715002364
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 2

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

JAMES D ABBOTT M.D.
Orthopaedic Surgery
5470 KINGS ISLAND DRIVE, STE 120
MASON, OH 45040
Warren County (513) 347-9999
JENNIFER L WHITE ACNP-BC
Nurse Practitioner (Acute Care)
5470 KINGS ISLAND DRIVE, STE 120
MASON, OH 45040
Warren County (513) 791-4490

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 Johnathan Hibbs's NPI number?

The NPI number for Johnathan Hibbs is 1215588033. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Johnathan Hibbs located?

Johnathan Hibbs practices at 5470 Kings Island Drive Ste 120, Mason, OH 45040. The listed phone number is (513) 791-4490.

What is Johnathan Hibbs's specialty?

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

Is Johnathan Hibbs enrolled in Medicare?

Yes. Johnathan Hibbs 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 Johnathan Hibbs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Johnathan Hibbs 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.

When was this NPI record last updated?

The NPPES record for Johnathan Hibbs was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.