Jill Welbern Tibbetts, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10171348 Issued in TN

Practice address

4243 Lebanon Pike Ste a
Hermitage, TN 37076-2170

Phone

(615) 874-9888

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermitage Family Practice LLCGroup PAC ID 9739567116, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hermitage Family Practice LLC

  • Family Nurse Practitioner
  • Hermitage, TN
  • NPI 1245983030
  Medicare reassignment Care Compare group NPD
• Moore Life Healthcare, PC

  • Urgent Care Clinic/Center
  • Gallatin, TN
  • NPI 1760877419
  Medicare reassignment NPD

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

• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1609363597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 LEBANON PIKE STE A",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762170",
            "telephone_number": "615-874-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 LEBANON PIKE STE A",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762170",
            "telephone_number": "615-874-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBERN TIBBETTS",
        "first_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F10171348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Ward
• Megan Warren
• Micah Washington
• John Mitchell Waters, PH.D, LPC-MHSP
• Lawren Watkins, FNP-BC
• Kahlie Calderon Welch, OTR/L
• Mary Alicia Wells, DVM
• Sarah Elizabeth Wells, AGACNP-BC
• Katherine Marie Welter, M.A., BCBA
• Thomas G Westermeier, MD

• Family Nurse Practitioner in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.