MICHELLE RAINA TIBBENS MSN, APRN, PMHNP
NPI 1942089206
Nurse Practitioner - Psychiatric/Mental Health in Camden, NC

Active since September 26, 2023PECOS Enrolled
102 RUN SWAMP RD, CAMDEN, NC 27921(814) 553-2117 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Raina Tibbens Msn, Aprn, Pmhnp NPPES

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

MICHELLE RAINA TIBBENS MSN, APRN, PMHNP (NPI 1942089206) is an individual psychiatric/mental health provider in Camden, North Carolina, licensed in Virginia (0024188279) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942089206
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE RAINA TIBBENSCredential: MSN, APRN, PMHNP
Location Address102 RUN SWAMP RDCamden, NC 27921-7625
Mailing Address102 Run Swamp RdCamden, NC 27921-7625 · (814) 553-2117
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1942089206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024188279
102 RUN SWAMP RD, Camden, NC 27921

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Raina Tibbens Msn, Aprn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michelle Tibbens 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)
1541 HIGH ST
Portsmouth, VA 23704
  • Reassigned Medicare billing, Virginia enrollment
  • 25 clinicians in this Medicare group
Mental Health
1500 E LITTLE CREEK RD, SUITE 205
Norfolk, VA 23518
  • Reassigned Medicare billing, Virginia enrollment
  • 16 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 27921 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Michelle Tibbens's NPI number?

The NPI number for Michelle Tibbens is 1942089206. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Michelle Tibbens located?

Michelle Tibbens practices at 102 Run Swamp Rd, Camden, NC 27921. The listed phone number is (814) 553-2117.

What is Michelle Tibbens's specialty?

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

Is Michelle Tibbens enrolled in Medicare?

Yes. Michelle Tibbens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Tibbens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Tibbens reassigns Medicare benefits to 2 organizations: Portsmouth Community Health Center, Inc. (Portsmouth, VA) and Hampton Roads Behavioral Health,pc (Norfolk, VA). 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 Michelle Tibbens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Tibbens accept?

Health plans from Oscar Health list Michelle Tibbens 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 Michelle Tibbens was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.