JOHN THOMAS HESS APRN
NPI 1861846115
Nurse Practitioner - Psychiatric/Mental Health in Arcadia, FL

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment
725 N 12TH AVE BLDG B, ARCADIA, FL 34266(863) 494-1242(863) 491-0466 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 23, 2019, Oct 16, 2019 (2 updates tracked since 2019).

About John Thomas Hess Aprn NPPES

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

JOHN THOMAS HESS APRN (NPI 1861846115) is an individual psychiatric/mental health provider in Arcadia, Florida, licensed in Florida (APRN9335667) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and maintains a secondary practice location in Bradenton.

NPPES Registry Identity

NPI1861846115
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN THOMAS HESSCredential: APRN
Location Address725 N 12TH AVE BLDG BArcadia, FL 34266-8752
Mailing Address2105 23rd Ave WBradenton, FL 34205-4526 · (941) 567-9571
Fax(863) 491-0466
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 22, 2016
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
NPI 1861846115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN9335667
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9335667 (FL)
725 N 12TH AVE BLDG B, Arcadia, FL 34266

Secondary Practice Location 1

Location 12105 23rd Ave WBradenton, FL 34205-4526 · Phone (941) 567-9571

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

John Thomas Hess 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 ID2860775483
PECOS Enrollment IDI20170206001897
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.

Areas of Expertise CMS Part B claims 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
583 services98 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
262 services85 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
179 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
175 services22 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
115 services105 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
102 services38 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34266 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

Psychologist (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Psychiatry & Neurology (Psychiatry)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266

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 John Hess's NPI number?

The NPI number for John Hess is 1861846115. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is John Hess located?

John Hess practices at 725 N 12th Ave Bldg B, Arcadia, FL 34266. The listed phone number is (863) 494-1242.

What is John Hess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is John Hess enrolled in Medicare?

Yes. John Hess 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 John Hess accept?

Health plans from Ambetter Health and Ambetter of Alabama list John Hess 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 John Hess affiliated with any hospitals?

According to CMS data, John Hess is affiliated with Orlando Health Bayfront Hospital.

When was this NPI record last updated?

The NPPES record for John Hess was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.