MS. EBONY MONIQUE ROLLINS ARNP
NPI 1053869529
Nurse Practitioner - Family in Winter Haven, FL

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
130 BATES AVE SW STE 111, WINTER HAVEN, FL 33880(863) 268-4626(866) 825-5809 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2023, May 25, 2021, Mar 17, 2018 and 5 more (8 updates tracked since 2016).

About Ms. Ebony Monique Rollins Arnp NPPES

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

MS. EBONY MONIQUE ROLLINS ARNP (NPI 1053869529) is an individual family provider in Winter Haven, Florida, licensed in Florida (ARNP 9304982) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053869529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. EBONY MONIQUE ROLLINSCredential: ARNP
Location Address130 BATES AVE SW STE 111Winter Haven, FL 33880-2920
Mailing Address130 Bates Ave Sw Ste 111Winter Haven, FL 33880-2920 · (863) 268-4626 · Fax (866) 825-5809
Fax(866) 825-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJanuary 30, 20258 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1053869529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP 9304982
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN9304982 (FL)
130 BATES AVE SW STE 111, Winter Haven, FL 33880

Other Identifiers 1

Medicaid019675100FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ebony Monique Rollins Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022396175
PECOS Enrollment IDI20161025002049
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 Ebony Rollins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
509 CAGAN VIEW RD
Clermont, FL 34714
  • Reassigned Medicare billing, Florida enrollment
  • 126 clinicians in this Medicare group
Internal Medicine
21 W COLUMBIA ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 339 clinicians in this Medicare group

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 33880 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Family Medicine
130 BATES AVE SW STE 111
WINTER HAVEN, FL 33880

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 Ebony Rollins's NPI number?

The NPI number for Ebony Rollins is 1053869529. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Ebony Rollins located?

Ebony Rollins practices at 130 Bates Ave SW Ste 111, Winter Haven, FL 33880. The listed phone number is (863) 268-4626.

What is Ebony Rollins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ebony Rollins enrolled in Medicare?

Yes. Ebony Rollins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ebony Rollins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Rollins reassigns Medicare benefits to 2 organizations: Community Health Centers, Inc. (Clermont, FL) and Orlando Physicians Network Inc (Orlando, FL). 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 Ebony Rollins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Rollins accept?

Health plans from Wellpoint list Ebony Rollins 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 Ebony Rollins was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.