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RONALD WAYNE HIBBS JR. APRN
NPI 1821622234
Nurse Practitioner - Gerontology in Franklin, TN

Active since February 24, 2020PECOS EnrolledAccepts Medicare Assignment
201 ROSA HELM WAY, FRANKLIN, TN 37067(615) 814-3500 Get Directions Write a Review

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

Record update history: Feb 25, 2025, Oct 15, 2020, Mar 4, 2020 and 1 more (4 updates tracked since 2020).

About Ronald Wayne Hibbs Jr. Aprn NPPES

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

RONALD WAYNE HIBBS JR. APRN (NPI 1821622234) is an individual gerontology provider in Franklin, Tennessee, licensed in Tennessee (27333) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Health System Pulaski, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821622234
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameRONALD WAYNE HIBBS JR.Credential: APRN
Location Address201 ROSA HELM WAYFranklin, TN 37067-8408
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 814-3500
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 24, 2020
Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1821622234 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 TN · 27333
201 ROSA HELM WAY, Franklin, TN 37067
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, 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 and accepts Medicare assignment

Ronald Wayne Hibbs Jr. 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 ID5294165627
PECOS Enrollment IDI20200424002758
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 Ronald Hibbs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology Associates, PC
17 mi
Nephrology
408 42ND AVE N, STE 300
Nashville, TN 37209
  • Reassigned Medicare billing, Tennessee enrollment
  • 42 clinicians in this Medicare group
NPI 1700878360 (615) 356-4111
Intensive Care Experts Health Network LLC
52 mi
Acute Care
3051 BUFFALO RD
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1184596637 (931) 762-7518

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
906 services496 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
44 services20 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
39 services28 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Tennessee Regional Health System Pulaski

Acute Care Hospitals · Pulaski, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440020
Location1265 E College StPulaski, TN 38478 · Giles County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

DEARING PHYSICAL MEDICINE
Point of Service
201 ROSA HELM WAY
FRANKLIN, TN 37067
Williamson County (615) 721-5141
NEPHROLOGY ASSOCIATES, PC
Nurse Practitioner
201 ROSA HELM WAY
FRANKLIN, TN 37067
Williamson County (615) 354-2459

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 Ronald Hibbs's NPI number?

The NPI number for Ronald Hibbs is 1821622234. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Ronald Hibbs located?

Ronald Hibbs practices at 201 Rosa Helm Way, Franklin, TN 37067. The listed phone number is (615) 814-3500.

What is Ronald Hibbs's specialty?

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

Is Ronald Hibbs enrolled in Medicare?

Yes. Ronald Hibbs 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 Ronald Hibbs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Hibbs reassigns Medicare benefits to 2 organizations: Nephrology Associates, PC (Nashville, TN) and Intensive Care Experts Health Network LLC (Lawrenceburg, TN). 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 Ronald Hibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Hibbs accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Ronald Hibbs 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.

Is Ronald Hibbs affiliated with any hospitals?

According to CMS data, Ronald Hibbs is affiliated with Southern Tennessee Regional Health System Pulaski and Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Ronald Hibbs 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 20 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.