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

Q: 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.

Q: 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.

Q: 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.

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: October 18, 2026.

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

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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

Phone(863) 494-1242

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

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.

Medicare Billing Reassignments

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

Mcr Health, Inc.

43 mi

Federally Qualified Health Center (FQHC)

12271 US HIGHWAY 301 N
Parrish, FL 34219

Reassigned Medicare billing, Florida enrollment
709 clinicians in this Medicare group

NPI 1255376000 (941) 776-4050

Southwest Florida Medicine PLLC

51 mi

Family Medicine

2902 59TH ST W, SUITE C
Bradenton, FL 34209

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1356886790 (941) 877-7000

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 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

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

90 services87 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

75 services34 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

54 services15 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

52 services33 patients

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.

42 services15 patients

Psychiatric diagnostic evaluation with medical services 90792

41 services40 patients

Psychiatric services complicated by communication factor 90785

33 services32 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423

This service involves a week-long digital assessment and management program for existing patients. It includes continuous health monitoring, virtual consultations, and personalized treatment plans. The total time spent is 21 minutes or more, ensuring comprehensive care.

18 services16 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423

17 services16 patients

Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes 99448

This is a virtual consultation with a specialist doctor lasting between 21-30 minutes. It can take place over the phone or internet. After the session, the doctor will provide a written report about your health condition and any recommended next steps.

15 services14 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.

DR. ANITHA MOGALLAPU M.D

Psychiatry & Neurology (Psychiatry)