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EBONIE MYAKEE ZOLLICOFFER
NPI 1376938209
Nurse Practitioner - Family in Sussex, WI

Active since March 28, 2015PECOS Enrolled
N62W23334 SILVER SPRING DR, SUSSEX, WI 53089(262) 225-1163 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2020, Mar 30, 2020 (2 updates tracked since 2020).

About Ebonie Myakee Zollicoffer NPPES

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

EBONIE MYAKEE ZOLLICOFFER (NPI 1376938209) is an individual family provider in Sussex, Wisconsin, licensed in Wisconsin (9919) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376938209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEBONIE MYAKEE ZOLLICOFFER
Location AddressN62W23334 SILVER SPRING DRSussex, WI 53089-3875
Mailing AddressN55w21268 Logan DrMenomonee Falls, WI 53051-6211 · (262) 225-1163
Phone(262) 225-1163
Sole ProprietorYes
Enumeration DateMarch 28, 2015
Last NPPES UpdateMay 25, 20202 updates tracked since enumeration
NPPES CertifiedMay 25, 2020
✔ NPI 1376938209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 9919
Also ListedRegistered NurseTaxonomy 163W00000X · License 159473 (WI)
N62W23334 SILVER SPRING DR, Sussex, WI 53089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebonie Myakee Zollicoffer 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 53089 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 Ebonie Zollicoffer's NPI number?

The NPI number for Ebonie Zollicoffer is 1376938209. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Ebonie Zollicoffer located?

Ebonie Zollicoffer practices at N62w23334 Silver Spring Dr, Sussex, WI 53089. The listed phone number is (262) 225-1163.

What is Ebonie Zollicoffer's specialty?

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

Is Ebonie Zollicoffer enrolled in Medicare?

Yes. Ebonie Zollicoffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebonie Zollicoffer was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.