JOHNATHAN HIBBS (NURSE PRACTITIONER) – Gerontology Nurse Practitioner, NPI 1215588033

JOHNATHAN HIBBS (NURSE PRACTITIONER) is a healthcare provider. based in Hamilton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 405604 (OH). The NPI Number for JOHNATHAN HIBBS (NURSE PRACTITIONER) is 1215588033

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHNATHAN HIBBS (NURSE PRACTITIONER)
NPI
1215588033
Phone
(513) 737-1500
Address
3515 SIARON WAY
Enumeration Date
23 September 2019
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136242070
Graduation Year
2014 (12 years ago)
PAC ID
4486035862
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20220715002364
Address ID
OH451502443MI201XXRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:6State licenses:3Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JOHNATHAN HIBBS (NURSE PRACTITIONER)

  • 3515 SIARON WAY

    HAMILTON, OH 450112684

    Phone: (513) 737-1500

    Fax: (513) 737-0255

    Type: Mailing

  • 234 Goodman St

    Cincinnati, OH 452192364

    Phone: (513) 475-8282

    Fax: (513) 458-1986

    Type: Location

  • PO BOX 636256

    CINCINNATI, OH 452636256

    Phone: (513) 585-6200

    Fax: (513) 245-3672

    Type: Mailing

  • 234 GOODMAN ST

    CINCINNATI, OH 452192364

    Phone: (513) 475-8282

    Fax: (513) 458-1986

    Type: Location

  • 5470 KINGS ISLAND DRIVE

    STE 120

    MASON, OH 45040

    Phone: (513) 791-4490

    Fax: (513) 791-7287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Chiesi USA, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220715002364INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 45011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Orthopedic Surgery, Sports MedicineOH
Surgical OncologyOH
Vascular SurgeryOH
Thoracic SurgeryCA
General SurgeryOH

Reviews

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Frequently asked questions

What identifier follows JOHNATHAN HIBBS (NURSE PRACTITIONER) across health systems?
The NPI 1215588033 uniquely identifies JOHNATHAN HIBBS (NURSE PRACTITIONER) in U.S. healthcare data.
Is JOHNATHAN HIBBS (NURSE PRACTITIONER)'s NPI status active today?
Active status means JOHNATHAN HIBBS (NURSE PRACTITIONER)'s NPI record is not deactivated in the public file.
What services align with JOHNATHAN HIBBS (NURSE PRACTITIONER)'s listing?
JOHNATHAN HIBBS (NURSE PRACTITIONER)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOHNATHAN HIBBS (NURSE PRACTITIONER) tied to Hamilton, Ohio?
If you are local to Hamilton, Ohio, JOHNATHAN HIBBS (NURSE PRACTITIONER) may be relevant to your search.
Why is information missing for JOHNATHAN HIBBS (NURSE PRACTITIONER)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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