Individual provider Active NPI

Nicole Hibbs, D.O.

  • Dermatology Physician
  • Hays, KS
National Provider Identifier
1871937250
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
05-39949 Issued in KS
Practice address
2708 Sternberg Dr
Hays, KS 67601-2057
Phone
(785) 625-7546
Fax
(785) 625-7598
NPI assigned
Apr 29, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 05-39949 KS Primary

Addresses

Primary practice location

2708 Sternberg Dr
Hays, KS 67601-2057

Mailing address

2708 Sternberg Dr
Hays, KS 67601-2057
Phone (785) 625-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725003597 KS Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7810131638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Dermatology, P.a.Group PAC ID 6709776594, 4 clinicians

Practice addresses (Care Compare)

2708 Sternberg Dr
Hays, KS 67601-2057
Phone (785) 625-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
92.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions3640
Removal of skin cancer390
Removal or shaving of skin growth1-10
Skin biopsy2519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-39949KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Dermatology, P.a. Dermatology CurrentSince Jul 31, 2017 Accepting new patients

Locations

2708 Sternberg Dr
Hays, KS 67601
Phone (785) 625-7546

Organizations & group practices 1

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871937250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 STERNBERG DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012057",
            "telephone_number": "785-625-7546",
            "fax_number": "785-625-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 STERNBERG DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012057",
            "telephone_number": "785-625-7546",
            "fax_number": "785-625-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "05-39949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.