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ELLEN GRACE TEBOS FNP-BC
NPI 1720626641
Nurse Practitioner - Family in Muskegon, MI

Active since December 11, 2019PECOS EnrolledAccepts Medicare Assignment
550 W WESTERN AVE APT 307, MUSKEGON, MI 49440(616) 914-9657 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen Grace Tebos Fnp-bc NPPES

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

ELLEN GRACE TEBOS FNP-BC (NPI 1720626641) is an individual family provider in Muskegon, Michigan, licensed in Michigan (2019047894) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720626641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN GRACE TEBOSCredential: FNP-BC
Location Address550 W WESTERN AVE APT 307Muskegon, MI 49440-1086
Mailing Address550 W Western Ave Apt 307Muskegon, MI 49440-1086
Phone(616) 914-9657
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 11, 2019
✔ NPI 1720626641 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 MI · 2019047894
550 W WESTERN AVE APT 307, Muskegon, MI 49440
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Accepted Insurance

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

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

Ellen Grace Tebos Fnp-bc 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 ID8426468455
PECOS Enrollment IDI20201103002345
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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Tebos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Line Primary Care
422 mi
Rural Health
1550 HIGHWAY 15 S STE 240
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1609378132 (606) 568-1184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
242 services18 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
149 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49440 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims2,850 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier13 claims13 services$24.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ellen Tebos's NPI number?

The NPI number for Ellen Tebos is 1720626641. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Ellen Tebos located?

Ellen Tebos practices at 550 W Western Ave Apt 307, Muskegon, MI 49440. The listed phone number is (616) 914-9657.

What is Ellen Tebos's specialty?

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

Is Ellen Tebos enrolled in Medicare?

Yes. Ellen Tebos 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 organization bills Medicare for Ellen Tebos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Tebos reassigns Medicare benefits to County Line Primary Care (Jackson, KY). The 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 Ellen Tebos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Tebos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ellen Tebos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Tebos was last updated on December 11, 2019. 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.