AGNES OLAOLU EZEKIEL PMHNP-BC
NPI 1821620840
Nurse Practitioner - Psychiatric/Mental Health in Grants Pass, OR
About Agnes Olaolu Ezekiel Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGNES OLAOLU EZEKIEL PMHNP-BC (NPI 1821620840) is an individual psychiatric/mental health provider in Grants Pass, Oregon, licensed in Montana (162006) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Agnes Olaolu Ezekiel Pmhnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Agnes Ezekiel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 125 clinicians in this Medicare group
Havre, MT 59501
- Reassigned Medicare billing, Montana enrollment
- 81 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97527 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.
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 Agnes Ezekiel's NPI number?
The NPI number for Agnes Ezekiel is 1821620840. It was assigned to this individual provider in the NPPES registry on February 7, 2020.
Where is Agnes Ezekiel located?
Agnes Ezekiel practices at 1545 Harbeck Rd, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.
What is Agnes Ezekiel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Agnes Ezekiel enrolled in Medicare?
Yes. Agnes Ezekiel 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 Agnes Ezekiel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Ezekiel reassigns Medicare benefits to 2 organizations: Options For Southern Oregon (Grants Pass, OR) and Northern Montana Hospital (Havre, MT). 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 Agnes Ezekiel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Agnes Ezekiel accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Agnes Ezekiel 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.
Is Agnes Ezekiel affiliated with any hospitals?
According to CMS data, Agnes Ezekiel is affiliated with Asante Three Rivers Medical Center.
When was this NPI record last updated?
The NPPES record for Agnes Ezekiel was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Agnes Olaolu Ezekiel, PMHNP-BC · NPI 1821620840
Psychiatric/Mental Health physician in Grants Pass, Oregon. Individual provider, active in the CMS NPPES registry since February 7, 2020.
## Identity
- **NPI:** 1821620840 (Entity type: Individual)
- **Enumerated:** February 7, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 162006 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1545 HARBECK RD, Grants Pass, OR 97527-5605
- **Phone:** (541) 476-2373
## 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): Options For Southern Oregon (NPI 1952708422, Grants Pass, OR); Northern Montana Hospital (NPI 1023169190, Havre, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1821620840) · Data from the CMS NPPES public registry.