MR. RAUL P IBANEZ HERNANDEZ SR. APRN
NPI 1699571083
Nurse Practitioner - Gerontology in Louisville, KY

Active since February 25, 2025PECOS EnrolledAccepts Medicare Assignment
3828 BARDSTOWN RD, LOUISVILLE, KY 40218(502) 479-8930 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Raul P Ibanez Hernandez Sr. Aprn NPPES

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

MR. RAUL P IBANEZ HERNANDEZ SR. APRN (NPI 1699571083) is an individual gerontology provider in Louisville, Kentucky, licensed in Kentucky (AG02250080) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699571083
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. RAUL P IBANEZ HERNANDEZ SR.Credential: APRN
Location Address3828 BARDSTOWN RDLouisville, KY 40218-1527
Mailing Address2600 El Patio Pl Apt 214Louisville, KY 40220-6005 · (502) 544-2755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1699571083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in KY · AG02250080
3828 BARDSTOWN RD, Louisville, KY 40218

Accepted Insurance

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

Mr. Raul P Ibanez Hernandez Sr. Aprn 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.

PECOS PAC ID8022535491
PECOS Enrollment IDI20250508002155
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 Reassignments

2

Medicare enrollment records show Raul Ibanez Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3828 BARDSTOWN RD
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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 7

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

Family Medicine
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Internal Medicine
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Pharmacy (Clinic Pharmacy)
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Clinic/Center (Federally Qualified Health Center (FQHC))
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Nurse Practitioner (Family)
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Internal Medicine
3828 BARDSTOWN RD
LOUISVILLE, KY 40218
Family Medicine
3828 BARDSTOWN RD
LOUISVILLE, KY 40218

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 Raul Ibanez Hernandez's NPI number?

The NPI number for Raul Ibanez Hernandez is 1699571083. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Raul Ibanez Hernandez located?

Raul Ibanez Hernandez practices at 3828 Bardstown Rd, Louisville, KY 40218. The listed phone number is (502) 479-8930.

What is Raul Ibanez Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Raul Ibanez Hernandez enrolled in Medicare?

Yes. Raul Ibanez Hernandez 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 organizations bill Medicare for Raul Ibanez Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Ibanez Hernandez reassigns Medicare benefits to 2 organizations: Park Duvalle Community Health Center, Inc (Louisville, KY) and Signify Health, LLC (Dallas, TX). Each 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 Raul Ibanez Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Ibanez Hernandez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Raul Ibanez Hernandez 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 Raul Ibanez Hernandez was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.