JENNIFER EBBERTT RN
NPI 1104410273
Nurse Practitioner - Family in Leesburg, VA

Q: What is Jennifer Ebbertt's NPI number?

The NPI number for Jennifer Ebbertt is 1104410273. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Q: What is Jennifer Ebbertt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ebbertt was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment

19465 DEERFIELD AVENUE, SUITE 405, LEESBURG, VA 20176(571) 252-8119(571) 252-8119 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jan 3, 2026, Mar 1, 2021 (3 updates tracked since 2021).

On this page

About Jennifer Ebbertt Rn NPPES

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

JENNIFER EBBERTT RN (NPI 1104410273) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024192366) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104410273

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER EBBERTTCredential: RN

Location Address19465 DEERFIELD AVENUE, SUITE 405Leesburg, VA 20176-1707

Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6010

Phone(571) 252-8119

Fax(571) 252-8119

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 1, 2021

Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1104410273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024192366

19465 DEERFIELD AVENUE, SUITE 405, Leesburg, VA 20176

Open in Google Maps ↗

Other Identifiers 1

Medicaid30018233000002VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Ebbertt Rn 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 ID5890190482

PECOS Enrollment IDI20250414002192

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

76 services75 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

35 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

LOUDOUN MEDICAL GROUP, PC

Internal Medicine (Cardiovascular Disease)

19465 DEERFIELD AVENUE, SUITE 405
LEESBURG, VA 20176

Loudoun County (571) 252-8119

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 Jennifer Ebbertt's NPI number?

The NPI number for Jennifer Ebbertt is 1104410273. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Jennifer Ebbertt located?

Jennifer Ebbertt practices at 19465 Deerfield Avenue, Suite 405, Leesburg, VA 20176. The listed phone number is (571) 252-8119.

What is Jennifer Ebbertt's specialty?

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

Is Jennifer Ebbertt enrolled in Medicare?

Yes. Jennifer Ebbertt 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.

When was this NPI record last updated?

The NPPES record for Jennifer Ebbertt was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.