EBONEE EMANUEL WHNP
NPI 1669863148
Nurse Practitioner - Women's Health in Newark, OH

Q: What is Ebonee Emanuel's NPI number?

The NPI number for Ebonee Emanuel is 1669863148. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Q: What is Ebonee Emanuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Ebonee Emanuel was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2015PECOS EnrolledAccepts Medicare Assignment

15 MESSIMER DR, NEWARK, OH 43055(220) 564-4677(220) 564-4678 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Aug 7, 2025, Dec 13, 2024 and 3 more (6 updates tracked since 2016).

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About Ebonee Emanuel Whnp NPPES

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

EBONEE EMANUEL WHNP (NPI 1669863148) is an individual women's health provider in Newark, Ohio, licensed in Ohio (16957NP) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1669863148

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameEBONEE EMANUELCredential: WHNP

Location Address15 MESSIMER DRNewark, OH 43055-1841

Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-6200 · Fax (614) 355-6228

Phone(220) 564-4677

Fax(220) 564-4678

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 5, 2015

Last NPPES UpdateJanuary 12, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1669863148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OH · 16957NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 389194RN (OH)

15 MESSIMER DR, Newark, OH 43055

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Secondary Practice Locations 9

Location 1455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-6200 · Fax (614) 355-6228

Location 2405 Butterfly Gardens DrColumbus, OH 43215-4985 · Phone (614) 722-6200 · Fax (614) 355-6228

Location 321 E State St Ste 200Columbus, OH 43215-0109 · Phone (888) 731-8994

Location 41905 Parsons AveColumbus, OH 43207-1933 · Phone (614) 586-4159 · Fax (614) 586-4252

Location 51511 W Broad StColumbus, OH 43222-1000 · Phone (614) 222-3525 · Fax (614) 222-3608

Location 6555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-6200 · Fax (614) 355-6228

Location 76435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-6200 · Fax (614) 355-6228

Location 87901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 722-6200 · Fax (614) 355-6228

Location 95675 Venture DrDublin, OH 43017-2159 · Phone (614) 722-6200 · Fax (614) 355-6228

Other Identifiers 1

Medicaid0119012OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Ebonee Emanuel Whnp 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 ID3779802574

PECOS Enrollment IDI20150429000623

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 12

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

NICHOLAS REED MD

Obstetrics & Gynecology (Gynecologic Oncology)