BRYAN J EBELING
NPI 1164058087
Nurse Practitioner - Family in Camp Verde, AZ

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
1298 W FINNIE FLAT RD, CAMP VERDE, AZ 86322(928) 639-5555 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Bryan J Ebeling NPPES

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

BRYAN J EBELING (NPI 1164058087) is an individual family provider in Camp Verde, Arizona, licensed in Arizona (239674) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camp Verde, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164058087
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRYAN J EBELING
Location Address1298 W FINNIE FLAT RDCamp Verde, AZ 86322-5958
Mailing Address7805 W Sweetwater TrlFlagstaff, AZ 86001-8191 · (435) 749-0078
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1164058087 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 AZ · 239674
1298 W FINNIE FLAT RD, Camp Verde, AZ 86322

Secondary Practice Location 1

Location 11298 W Finnie Flat RdCamp Verde, AZ 86322-5958 · Phone (928) 639-5555

Other Identifiers 1

OtherF03200300Aanp

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

Bryan J Ebeling 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 ID7810317823
PECOS Enrollment IDI20201013001963
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

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 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86322 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers21 claims21 services$8.81 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
3 suppliers20 claims20 services$1.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$17.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$93.30 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers32 claims32 services$26.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Nurse Practitioner (Family)
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Psychologist (Counseling)
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Family Medicine
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Physician Assistant
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Nurse Practitioner (Family)
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Nurse Practitioner (Family)
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322
Nurse Practitioner (Family)
1298 W FINNIE FLAT RD
CAMP VERDE, AZ 86322

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 Bryan Ebeling's NPI number?

The NPI number for Bryan Ebeling is 1164058087. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Bryan Ebeling located?

Bryan Ebeling practices at 1298 W Finnie Flat Rd, Camp Verde, AZ 86322. The listed phone number is (928) 639-5555.

What is Bryan Ebeling's specialty?

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

Is Bryan Ebeling enrolled in Medicare?

Yes. Bryan Ebeling 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 Bryan Ebeling accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Bryan Ebeling 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 Bryan Ebeling was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.