Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnathan Hibbs, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1215588033

Johnathan Hibbs, NURSEPRACTITIONER is a Nurse Practitioner in Mason, Ohio. Qualified in 2014, 12 years ago. Practices with Mercy Health Physicians Cincinnati Specialty Care LLC, a 344-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

5470 Kings Island Dr Ste 120
Mason, OH 45040
Phone: (513) 791-4490
Fax: (513) 791-7287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 Goodman St, Cincinnati, OH 45219-2364 — (513) 475-8282

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.025755 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 405604 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP.025755 (OH)

Record details

NPI number1215588033
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address5470 Kings Island Drive, Ste 120, Mason, OH 45040

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Health Physicians Cincinnati Specialty Care Llc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mason