LEAH EBBEN PA-C
NPI 1124693395
Physician Assistant in Appleton, WI

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment
2500 E CAPITOL DR, APPLETON, WI 54911(920) 364-3600(920) 364-3900 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Oct 4, 2021, Sep 28, 2021 and 1 more (4 updates tracked since 2021).

About Leah Ebben Pa-c NPPES

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

LEAH EBBEN PA-C (NPI 1124693395) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (5607) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1124693395
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEAH EBBENCredential: PA-C
Location Address2500 E CAPITOL DRAppleton, WI 54911-8735
Mailing Address2500 E Capitol DrAppleton, WI 54911-8735 · (920) 364-3600 · Fax (920) 364-3900
Fax(920) 364-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 20, 2021
Last NPPES UpdateSeptember 12, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1124693395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5607
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2500 E CAPITOL DR, Appleton, WI 54911

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-4600 · Fax (414) 805-2934

Accepted Insurance

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

Leah Ebben Pa-c 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 ID2163820820
PECOS Enrollment IDI20211011000535
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services154 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine (Hematology & Oncology)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911

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 Leah Ebben's NPI number?

The NPI number for Leah Ebben is 1124693395. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Leah Ebben located?

Leah Ebben practices at 2500 E Capitol Dr, Appleton, WI 54911. The listed phone number is (920) 364-3600.

What is Leah Ebben's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leah Ebben enrolled in Medicare?

Yes. Leah Ebben 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.

What insurance does Leah Ebben accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Leah Ebben 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.

Is Leah Ebben affiliated with any hospitals?

According to CMS data, Leah Ebben is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London, Thedacare Medical Center-Waupaca and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Leah Ebben was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.