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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Raul Ibanez Hernandez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource 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 17 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.