MS. CYNTHIA ALLEN EBELACKER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1871697342
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. CYNTHIA ALLEN EBELACKER (PMHNP)
10251 STEWART DR
EAGLE RIVER, AK 995779509
Phone: (907) 696-2493
Type: Mailing
450 CLINTON ST
WOONSOCKET, RI 028953207
Phone:
Type: Mailing
1407 W 31st Ave
Suite 201
Anchorage, AK 995033678
Phone: (907) 646-9948
Fax: (907) 646-9949
Type: Location
1 River St
Wakefield, RI 028793214
Phone: (401) 783-0523
Type: Location
186 Providence St
West Warwick, RI 028932508
Phone: (401) 615-2800
Type: Location
360 Kingstown Rd Unit 101
Narragansett, RI 028823258
Phone: (401) 789-6492
Type: Location
1407, West 31st Avenue, Spenard, Anchorage, Alaska, 99503, United States
SUITE 201
ANCHORAGE, AK 995033678
Phone: (907) 646-9948
Fax: (907) 646-9949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240322001120 | I | Nurse Practitioner | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NH | |
| - | NH | |
| - | NH | |
| - | NH |
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