Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVEN NICOLE EBERTH MD
NPI 1124722103
Family Medicine in Glen Mills, PA

Active since March 27, 2023PECOS Enrolled
300 EVERGREEN DR STE 151, GLEN MILLS, PA 19342(302) 477-3300 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Raven Nicole Eberth Md NPPES

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

RAVEN NICOLE EBERTH MD (NPI 1124722103) is an individual family medicine provider in Glen Mills, Pennsylvania, licensed in Pennsylvania (MD494132) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124722103
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRAVEN NICOLE EBERTHCredential: MD
Location Address300 EVERGREEN DR STE 151Glen Mills, PA 19342-1059
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1124722103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD494132 Licensed in DE · C1-0029365
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 EVERGREEN DR STE 151, Glen Mills, PA 19342

Secondary Practice Locations 2

Location 1721 E Baltimore Pike Ste 100Kennett Square, PA 19348-2434 · Phone (302) 477-3300
Location 2501 W 14th StWilmington, DE 19801-1013 · Phone (302) 477-3300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raven Nicole Eberth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19342 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Raven Eberth's NPI number?

The NPI number for Raven Eberth is 1124722103. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Raven Eberth located?

Raven Eberth practices at 300 Evergreen Dr Ste 151, Glen Mills, PA 19342. The listed phone number is (302) 477-3300.

What is Raven Eberth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raven Eberth enrolled in Medicare?

Yes. Raven Eberth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raven Eberth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.