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EBITARI O FREGENE DNP
NPI 1003646795
Nurse Practitioner - Psychiatric/Mental Health in Urbandale, IA

Active since August 06, 2024PECOS Enrolled
8517 AIRLINE AVE, URBANDALE, IA 50322(636) 634-5668 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Jul 7, 2026, Aug 6, 2024 (3 updates tracked since 2024).

About Ebitari O Fregene Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBITARI O FREGENE DNP (NPI 1003646795) is an individual psychiatric/mental health provider in Urbandale, Iowa, licensed in Missouri (2024031047) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003646795
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBITARI O FREGENECredential: DNP
Location Address8517 AIRLINE AVEUrbandale, IA 50322-2317
Mailing Address115 Golden Gate PkwyWentzville, MO 63385-7288 · (636) 634-5668
Phone(636) 634-5668
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2024
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1003646795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2024031047
8517 AIRLINE AVE, Urbandale, IA 50322
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebitari O Fregene Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587195177
PECOS Enrollment IDI20260707002042
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ebitari Fregene reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wholesome Behavioral Health
Same address
Clinic/Center
8517 AIRLINE AVE
Urbandale, IA 50322
  • Reassigned Medicare billing, Iowa and Missouri enrollments
NPI 1467271304 (636) 634-5668
Serenity Health LLC
257 mi
Psychiatry
4905 MEXICO RD STE 400
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 47 clinicians in this Medicare group
NPI 1104569151 (314) 590-3721

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY LIVING SERVICES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8517 AIRLINE AVE
URBANDALE, IA 50322
Polk County (515) 650-3559
WHOLESOME BEHAVIORAL HEALTH
Clinic/Center
8517 AIRLINE AVE
URBANDALE, IA 50322
Polk County (636) 634-5668
FAMILY HEALTH SERVICES LLC
Home Health
8517 AIRLINE AVE
URBANDALE, IA 50322
Polk County (515) 778-6814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebitari Fregene's NPI number?

The NPI number for Ebitari Fregene is 1003646795. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Ebitari Fregene located?

Ebitari Fregene practices at 8517 Airline Ave, Urbandale, IA 50322. The listed phone number is (636) 634-5668.

What is Ebitari Fregene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ebitari Fregene enrolled in Medicare?

Yes. Ebitari Fregene is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebitari Fregene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebitari Fregene reassigns Medicare benefits to 2 organizations: Wholesome Behavioral Health (Urbandale, IA) and Serenity Health LLC (Saint Peters, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebitari Fregene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebitari Fregene accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Ebitari Fregene as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebitari Fregene was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.