HERMITAGE FAMILY PRACTICE LLC
NPI 1245983030
Nurse Practitioner - Family in Hermitage, TN
About Hermitage Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERMITAGE FAMILY PRACTICE LLC (NPI 1245983030) is a healthcare organization registered as a family in Hermitage, Tennessee and active in the NPI registry since February 2022. The organization lists Jill Welbern, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hermitage Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hermitage Family Practice LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hermitage Family Practice LLC's NPI number?
The NPI number for Hermitage Family Practice LLC is 1245983030. It was assigned to this organization in the NPPES registry on February 1, 2022.
Where is Hermitage Family Practice LLC located?
Hermitage Family Practice LLC is located at 4243 Lebanon Pike Ste A, Hermitage, TN 37076. The listed phone number is (615) 874-9888.
What is Hermitage Family Practice LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hermitage Family Practice LLC enrolled in Medicare?
Yes. Hermitage Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hermitage Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hermitage Family Practice LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hermitage Family Practice LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hermitage Family Practice Llc · NPI 1245983030
Family organization in Hermitage, Tennessee. Organization record, active in the CMS NPPES registry since February 1, 2022.
## Identity
- **NPI:** 1245983030 (Entity type: Organization)
- **Enumerated:** February 1, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jill Welbern, OWNER
## Practice location
- **Address:** 4243 LEBANON PIKE STE A, Hermitage, TN 37076-2170
- **Phone:** (615) 874-9888 · **Fax:** (615) 883-6899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245983030) · Data from the CMS NPPES public registry.