JACOB MARK EBNER PA-C
NPI 1316627813
Physician Assistant in Newark, DE

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 1070, NEWARK, DE 19718(302) 733-1663(302) 733-4533 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Mark Ebner Pa-c NPPES

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

JACOB MARK EBNER PA-C (NPI 1316627813) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0012175) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316627813
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB MARK EBNERCredential: PA-C
Location Address4755 OGLETOWN STANTON RD STE 1070Newark, DE 19718-2200
Mailing Address107 Cedar RdPittsgrove, NJ 08318-3830 · (856) 275-5492
Fax(302) 733-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2023
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
NPI 1316627813 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 DE · C5-0012175
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.
4755 OGLETOWN STANTON RD STE 1070, Newark, DE 19718

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

Jacob Mark Ebner 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 ID2466988985
PECOS Enrollment IDI20241207000115
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 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 14

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

Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Registered Nurse
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718

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 Jacob Ebner's NPI number?

The NPI number for Jacob Ebner is 1316627813. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Jacob Ebner located?

Jacob Ebner practices at 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718. The listed phone number is (302) 733-1663.

What is Jacob Ebner's specialty?

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

Is Jacob Ebner enrolled in Medicare?

Yes. Jacob Ebner 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 Jacob Ebner was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.