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WAVERLY HEBERT
NPI 1245903376
Student in an Organized Health Care Education/Training Program in Pikeville, KY

Active since July 26, 2021PECOS Enrolled
147 SYCAMORE ST, PIKEVILLE, KY 41501(440) 654-1332 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Waverly Hebert NPPES

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

WAVERLY HEBERT (NPI 1245903376) is an individual student in an organized health care education/training program in Pikeville, Kentucky and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245903376
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameWAVERLY HEBERT
Location Address147 SYCAMORE STPikeville, KY 41501-9118
Mailing Address147 Sycamore StPikeville, KY 41501-9118
Phone(440) 654-1332
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1245903376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
147 SYCAMORE ST, Pikeville, KY 41501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waverly Hebert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517451453
PECOS Enrollment IDI20251209002467
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.

Medicare Billing Reassignment

Medicare enrollment records show Waverly Hebert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,973 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. EILENE EUGENIO KINZER O.D.
Optometrist
147 SYCAMORE ST, KENTUCKY COLLEGE OF OPTOMETRY
PIKEVILLE, KY 41501
Pike County (606) 218-5514
DR. GENESIA LYNN KILGORE-BOWLING PHD, MSW, CSW
Social Worker
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5011
AVONNA SHEPPARD
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5250
DR. DEESHA KAM PATEL
Student in an Organized Health Care Education/Training Program
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5250
MISS BREANNA LYNN CLEMMER
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 552-1365
DR. JAMES ROGALA OD
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5515
MICHAEL KENNETH MURPHY DO
Family Medicine
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5152
DR. MOHAMMED S NAJA OD
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5364

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 Waverly Hebert's NPI number?

The NPI number for Waverly Hebert is 1245903376. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Waverly Hebert located?

Waverly Hebert practices at 147 Sycamore St, Pikeville, KY 41501. The listed phone number is (440) 654-1332.

What is Waverly Hebert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Waverly Hebert enrolled in Medicare?

Yes. Waverly Hebert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Waverly Hebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waverly Hebert reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Waverly Hebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Waverly Hebert was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.