Individual provider Active NPI

Kimberly Hibben, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1922690270
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031340 Issued in PA
Practice address
205 N Broad St Ste 300
Philadelphia, PA 19107-1553
Phone
(215) 569-1111
NPI assigned
Feb 8, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP031340 PA Primary

Addresses

Primary practice location

205 N Broad St Ste 300
Philadelphia, PA 19107-1553

Mailing address

2323 Race St Unit 421
Philadelphia, PA 19103-1081
Phone (203) 554-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250403003778 NJ Practitioner - Nurse Practitioner 2264956937 Reassigns benefits to 1 organization
I20250408002861 PA Practitioner - Nurse Practitioner 2264956937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergic Disease Associates PCGroup PAC ID 5092708297, 4 clinicians

Practice addresses (Care Compare)

205 N Broad St
Suite 300
Philadelphia, PA 19107-1553
Phone (215) 569-1111

2059 Briggs Rd
Suite 306
Mount Laurel, NJ 08054-4640
Phone (856) 316-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP031340PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Disease Associates PC CurrentSince Feb 6, 2025 Accepting new patients
Griebs Darien Pharmacy Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

2059 Briggs Rd
Ste 306
Mount Laurel, NJ 08054
Phone (856) 316-0300

404 Middletown Blvd
Ste 305
Langhorne, PA 19047
Phone (215) 750-7040

205 N Broad St
Philadelphia, PA 19107
Phone (215) 496-9300

205 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 569-1111

205 N Broad St
Ste 301
Philadelphia, PA 19107

2137 Welsh Rd
Ste 2B
Philadelphia, PA 19115
Phone (215) 667-4433

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1922690270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 RACE ST UNIT 421",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031081",
            "telephone_number": "203-554-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BROAD ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071553",
            "telephone_number": "215-569-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBEN",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.