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DR. EBONY NICOLE FUNCHES DNP, FNP-C, AG-ACNP
NPI 1639569247
Nurse Practitioner - Family in Venice, CA

Active since February 03, 2015PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636(310) 392-6642 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2021, Mar 17, 2018, Mar 5, 2018 (3 updates tracked since 2018).

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 Venice, California, licensed in California (95002049) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639569247
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. EBONY NICOLE FUNCHESCredential: DNP, FNP-C, AG-ACNP
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636 · Fax (310) 392-6642
Phone(310) 392-8636
Fax(310) 392-6642
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 3, 2015
Last NPPES UpdateFebruary 16, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
✔ NPI 1639569247 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 CA · 95002049
604 ROSE AVE, Venice, CA 90291
Open in Google Maps ↗

Secondary Practice Location 1

Location 1808 W 58th StLos Angeles, CA 90037-3632 · Phone (323) 541-1600 ext. 1466 · Fax (323) 541-1994

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

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.

PECOS PAC ID3971805847
PECOS Enrollment IDI20160108001769
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 90291 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

BEVERLY ANN KARPMAN M.D.
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ALEXANDER PAPPAS MD
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MICHAEL ALAN DONATH
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
DR. MITESH G POPAT MD
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MIRIAM C PADILLA M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7600
MERRIES N. THOMPSON-MARVEL DMD
Dentist
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
SUSAN MOJDEH PARTOVI M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ELISABETH HELEN CEDERBLOM FNP
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636

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 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

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.

When was this NPI record last updated?

The NPPES record for Ebony Funches was last updated on February 16, 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.