KELLY ROCHELLE HIBBS
NPI 1689046260
Nurse Practitioner - Family in Louisville, KY

Q: What is Kelly Hibbs's NPI number?

The NPI number for Kelly Hibbs is 1689046260. It was assigned to this individual provider in the NPPES registry on October 22, 2015. The provider is also known as Kelly Rochelle Earls.

Q: What is Kelly Hibbs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Hibbs was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 22, 2015PECOS Enrolled

4171 WESTPORT RD, LOUISVILLE, KY 40207(502) 896-8868 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Jan 26, 2021, May 28, 2020 and 5 more (8 updates tracked since 2015).

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About Kelly Rochelle Hibbs NPPES

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

KELLY ROCHELLE HIBBS (NPI 1689046260) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3009820) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689046260

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY ROCHELLE HIBBS

Location Address4171 WESTPORT RDLouisville, KY 40207-2739

Mailing Address4171 Westport RdLouisville, KY 40207-2739 · (502) 896-8868 · Fax (028) 956-2785

Phone(502) 896-8868

Sole ProprietorNo

Enumeration DateOctober 22, 2015

Last NPPES UpdateApril 26, 20248 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1689046260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3009820

4171 WESTPORT RD, Louisville, KY 40207

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Other Names 1

Former Name (1)Kelly Rochelle Earls

Other Identifiers 2

Medicaid201335080IN

Medicaid7100372730KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rochelle Hibbs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 17

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

JESSICA HOLLOMAN MD

Pediatrics