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KAKAWONDA T HIBBLER CFNP
NPI 1578236964
Nurse Practitioner - Family in Indianola, MS

Active since July 30, 2021PECOS Enrolled
702 HIGHWAY 82 E, INDIANOLA, MS 38751(662) 207-8492(662) 887-7042 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 5, 2022, Jul 30, 2021 (2 updates tracked since 2021).

About Kakawonda T Hibbler Cfnp NPPES

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

KAKAWONDA T HIBBLER CFNP (NPI 1578236964) is an individual family provider in Indianola, Mississippi, licensed in Mississippi (HIBB-HIF5DC) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578236964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAKAWONDA T HIBBLERCredential: CFNP
Location Address702 HIGHWAY 82 EIndianola, MS 38751-2322
Mailing Address640 Sunflower Avenue ExtIndianola, MS 38751-2687 · (662) 207-8492
Phone(662) 207-8492
Fax(662) 887-7042
Sole ProprietorNo
Enumeration DateJuly 30, 2021
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1578236964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · HIBB-HIF5DC
Also ListedFamily MedicineTaxonomy 207Q00000X · License HIBB-HIF5DC (MS)
702 HIGHWAY 82 E, Indianola, MS 38751
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kakawonda T Hibbler Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kakawonda Hibbler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Health Network LLC
288 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38751 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Kakawonda Hibbler's NPI number?

The NPI number for Kakawonda Hibbler is 1578236964. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Kakawonda Hibbler located?

Kakawonda Hibbler practices at 702 Highway 82 E, Indianola, MS 38751. The listed phone number is (662) 207-8492.

What is Kakawonda Hibbler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kakawonda Hibbler enrolled in Medicare?

Yes. Kakawonda Hibbler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kakawonda Hibbler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kakawonda Hibbler reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). 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 Kakawonda Hibbler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kakawonda Hibbler accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Kakawonda Hibbler 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 Kakawonda Hibbler was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.