JACOB HIBBERT CRNA
NPI 1295455426
Nurse Anesthetist, Certified Registered in North Conway, NH
About Jacob Hibbert Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB HIBBERT CRNA (NPI 1295455426) is an individual nurse anesthetist, certified registered in North Conway, New Hampshire, licensed in New Hampshire (092600-23) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, The, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Hibbert Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Hibbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Conway, NH 03860
- Reassigned Medicare billing, New Hampshire enrollment
- 173 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital, The
Critical Access Hospitals · North Conway, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH CONWAY, NH 03860
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 Jacob Hibbert's NPI number?
The NPI number for Jacob Hibbert is 1295455426. It was assigned to this individual provider in the NPPES registry on August 29, 2022.
Where is Jacob Hibbert located?
Jacob Hibbert practices at 3073 White Mountain Hwy, North Conway, NH 03860. The listed phone number is (603) 356-4835.
What is Jacob Hibbert's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Hibbert enrolled in Medicare?
Yes. Jacob Hibbert 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.
Which organization bills Medicare for Jacob Hibbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Hibbert reassigns Medicare benefits to The Memorial Hospital (North Conway, NH). 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 Jacob Hibbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacob Hibbert affiliated with any hospitals?
According to CMS data, Jacob Hibbert is affiliated with Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for Jacob Hibbert was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jacob Hibbert, CRNA · NPI 1295455426
Nurse Anesthetist, Certified Registered physician in North Conway, New Hampshire. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1295455426 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 092600-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 3073 WHITE MOUNTAIN HWY, North Conway, NH 03860-7101
- **Phone:** (603) 356-4835 · **Fax:** (603) 356-2604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** The Memorial Hospital (NPI 1366421141, North Conway, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295455426) · Data from the CMS NPPES public registry.