DR. EBONY NICOLE FUNCHES DNP, FNP-C, AG-ACNP
NPI 1639569247
Nurse Practitioner - Family in Los Angeles, CA
About Dr. Ebony Nicole Funches Dnp, Fnp-c, Ag-acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EBONY NICOLE FUNCHES DNP, FNP-C, AG-ACNP (NPI 1639569247) is an individual family provider in Los Angeles, California, licensed in California (95002049) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ebony Nicole Funches Dnp, Fnp-c, Ag-acnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ebony Funches reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Monica, CA 90405
- Reassigned Medicare billing, California enrollment
- 147 clinicians in this Medicare group
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Ebony Funches's NPI number?
The NPI number for Ebony Funches is 1639569247. It was assigned to this individual provider in the NPPES registry on February 3, 2015.
Where is Ebony Funches located?
Ebony Funches practices at 200 Medical Plaza Suite 140, Los Angeles, CA 90095. The listed phone number is (310) 794-7700.
What is Ebony Funches's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebony Funches enrolled in Medicare?
Yes. Ebony Funches 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.
Which organizations bill Medicare for Ebony Funches's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Funches reassigns Medicare benefits to 2 organizations: Venice Family Clinic (Santa Monica, CA) and Southern California Permanente Medical Group (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Funches's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ebony Funches was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Ebony Nicole Funches, DNP, FNP-C, AG-ACNP · NPI 1639569247
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1639569247 (Entity type: Individual)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002049 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 MEDICAL PLAZA, SUITE 140, Los Angeles, CA 90095-0001
- **Phone:** (310) 794-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Venice Family Clinic (NPI 1558397067, Santa Monica, CA); Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639569247) · Data from the CMS NPPES public registry.