1. Home
  2. Directory
  3. Georgia
  4. Alpharetta
  5. Nurse Practitioner
  6. NPI Profile

ELLENI KEBEDE NP
NPI 1124711064
Nurse Practitioner - Family in Alpharetta, GA

Active since May 26, 2023PECOS EnrolledAccepts Medicare Assignment
2450 OLD MILTON PKWY, ALPHARETTA, GA 30009(470) 267-0360 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elleni Kebede Np NPPES

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

ELLENI KEBEDE NP (NPI 1124711064) is an individual family provider in Alpharetta, Georgia, licensed in Georgia (RN205026) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124711064
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLENI KEBEDECredential: NP
Location Address2450 OLD MILTON PKWYAlpharetta, GA 30009-2250
Mailing Address1055 Lyndhurst WayRoswell, GA 30075-2583
Phone(470) 267-0360
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1124711064 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 GA · RN205026
2450 OLD MILTON PKWY, Alpharetta, GA 30009
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Elleni Kebede Np 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 ID8729433305
PECOS Enrollment IDI20231017003163
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

3

Medicare enrollment records show Elleni Kebede reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
1.9 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Bold Legacy Practice, LLC
10 mi
Urgent Care
1401 JOHNSON FERRY RD STE 390
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1972212116 (470) 795-0047
Bold Primary LLC
10 mi
Family Medicine
1401 JOHNSON FERRY RD STE 390B
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1275300287 (470) 250-1492

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

Areas of Expertise CMS Part B claims 5

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services13 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

DR. YARILIS MASIELL JAUREGUI MD
Family Medicine
2450 OLD MILTON PKWY
ALPHARETTA, GA 30009
Fulton County (470) 267-0360

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 Elleni Kebede's NPI number?

The NPI number for Elleni Kebede is 1124711064. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Elleni Kebede located?

Elleni Kebede practices at 2450 Old Milton Pkwy, Alpharetta, GA 30009. The listed phone number is (470) 267-0360.

What is Elleni Kebede's specialty?

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

Is Elleni Kebede enrolled in Medicare?

Yes. Elleni Kebede 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 Elleni Kebede's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elleni Kebede reassigns Medicare benefits to 3 organizations: Wellstar Medical Group, LLC (Roswell, GA), Bold Legacy Practice, LLC (Marietta, GA) and Bold Primary LLC (Marietta, GA). 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 Elleni Kebede's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elleni Kebede accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Elleni Kebede 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 Elleni Kebede was last updated on May 26, 2023. 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.