JEAN EBERSOLE
NPI 1366252736
Nurse Practitioner - Family in Aberdeen, WA
About Jean Ebersole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN EBERSOLE (NPI 1366252736) is an individual family provider in Aberdeen, Washington, licensed in Washington (AP61615826) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jean Ebersole 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grays Harbor Community Hospital
Acute Care Hospitals · Aberdeen, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ABERDEEN, WA 98520
ABERDEEN, WA 98520
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 Jean Ebersole's NPI number?
The NPI number for Jean Ebersole is 1366252736. It was assigned to this individual provider in the NPPES registry on January 8, 2025.
Where is Jean Ebersole located?
Jean Ebersole practices at 1020 Anderson Dr Ste 203, Aberdeen, WA 98520. The listed phone number is (360) 533-6063.
What is Jean Ebersole's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jean Ebersole enrolled in Medicare?
Yes. Jean Ebersole 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.
Is Jean Ebersole affiliated with any hospitals?
According to CMS data, Jean Ebersole is affiliated with Grays Harbor Community Hospital.
When was this NPI record last updated?
The NPPES record for Jean Ebersole was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jean Ebersole · NPI 1366252736
Family physician in Aberdeen, Washington. Individual provider, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1366252736 (Entity type: Individual)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61615826 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1020 ANDERSON DR STE 203, Aberdeen, WA 98520-1055
- **Phone:** (360) 533-6063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366252736) · Data from the CMS NPPES public registry.