FESTUS EBONKA
NPI 1932241007
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Festus Ebonka's NPI number?

The NPI number for Festus Ebonka is 1932241007. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Festus Ebonka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Festus Ebonka was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since February 13, 2007Accepts Medicare Assignment

1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 515-9680(702) 685-9674 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Festus Ebonka NPPES

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

FESTUS EBONKA (NPI 1932241007) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (APRN000902) and active in the NPI registry since February 2007. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1932241007

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameFESTUS EBONKA

Location Address1721 E CHARLESTON BLVDLas Vegas, NV 89104-1902

Mailing Address1721 E. Charleston Blvd.Las Vegas, NV 89104-1902 · (702) 515-9680 · Fax (702) 685-9674

Phone(702) 515-9680

Fax(702) 685-9674

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 13, 2007

Last NPPES UpdateJanuary 21, 2025

NPPES CertifiedJanuary 21, 2025

✔ NPI 1932241007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · APRN000902

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN000902 (NV)

1721 E CHARLESTON BLVD, Las Vegas, NV 89104

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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

Festus Ebonka 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 ID3971609512

PECOS Enrollment IDI20150513000946

Areas of Expertise CMS Part B claims 5

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

273 services86 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

258 services80 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

89 services73 patients

Psychotherapy for crisis, first hour 90839

Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.

26 services20 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89104 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

OZOMOR LLC

Clinic/Center (Primary Care)