David Gerald Hibbs, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200950024NP Issued in OR

Practice address

1808 SE 182ND Ave
Portland, OR 97233-5120

Phone

(503) 917-5928

Fax

(503) 917-5929

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy at Home LLCGroup PAC ID 8224381991, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Connected Home Health Home health agency, Clackamas, OR, CCN 387146
• Heart 2 Heart Hospice Care LLC Hospice, Portland, OR, CCN 381581

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: healthyathomeproviders.davidhibbs@148168.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy at Home LLC

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1023590841
  Medicare reassignment Care Compare group NPD Authorized official
• Senior Care Northwest

  • Adult Health Nurse Practitioner
  • Forest Grove, OR
  • NPI 1447685631
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caring Hearts Hospice

  • Community Based Hospice Care Agency
  • Milwaukie, OR
  • NPI 1114590635
  Care Compare affiliation
• Connected Healthcare, Inc.

  • Home Health Agency
  • Clackamas, OR
  • NPI 1063780492
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1427092683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203620",
            "telephone_number": "503-917-5928",
            "fax_number": "503-917-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335120",
            "telephone_number": "503-917-5928",
            "fax_number": "503-917-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "DAVID",
        "middle_name": "GERALD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00156444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200950024NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500620347",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8857797",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9646985",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna R Heymann, RN, LCSW
• Jordon Heynoski
• Andrew Hibbard, PHARMD
• Ashley Rae Hibbert, O.D.
• William Hibbitts, N.D.
• Kelly Erin Hibbs, MA
• Janna Hibler, ND
• Pamela Hibler
• Donald Joseph Hice, QMHP
• David Howard Hickam, M.D.

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.