ELLEN GRACE TEBOS FNP-BC NPI 1720626641

NPI Information

  • NPI: 1720626641
  • Provider Name: ELLEN GRACE TEBOS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 W WESTERN AVE APT 307
    MUSKEGON, MI
    ZIP 49440
  • Phone: (616) 914-9657

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NPI Details

Ellen Grace Tebos, FNP-BC is a family nurse practitioner in Muskegon, MI with 6 years of experience. Ellen Grace Tebos, FNP-BC NPI is 1720626641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 W WESTERN AVE APT 307
MUSKEGON, MI
ZIP 49440-086
Phone: (616) 914-9657

The NPI 1720626641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)

The enumeration date for this NPI number is 12/11/2019 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2019047894MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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