LIZETTE MANYI EBOT (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508448739

LIZETTE MANYI EBOT (PMHNP-BC) is a healthcare provider. based in Wichita falls, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1034060 (TX). The NPI Number for LIZETTE MANYI EBOT (PMHNP-BC) is 1508448739

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LIZETTE MANYI EBOT (PMHNP-BC)
NPI
1508448739
Phone
(940) 235-6491
Address
4810 HEISMAN DR
Enumeration Date
27 April 2021
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407664482
Graduation Year
2020 (6 years ago)
PAC ID
8527466168
Group Practice PAC ID
6507961000
Professional Enrollment ID
I20211012000920
Address ID
TX763015011WI1714XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LIZETTE MANYI EBOT (PMHNP-BC)

  • 4810 HEISMAN DR

    WICHITA FALLS, TX 763102838

    Phone: (940) 235-6491

    Fax: (940) 386-9677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 168 Open Payments records for all available years, with a total value of $3,110.

Total Amount is formed as General ($3,110) + Research ($0) + Ownership ($0) = $3,110.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($621).

Total Amount

$3,110

General + Research + Ownership

Payments

168

Total payment records

General Amount

$3,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211012000920INurse PractitionerTXTBD
I20221205000210INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6018$0
90833Psychotherapy with evaluation and management visit, 30 minutes5818$0
View full utilization report →

Insurance plans in this area (ZIP 76310)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507961000View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Clinical PsychologistTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for LIZETTE MANYI EBOT (PMHNP-BC)?
Save NPI 1508448739 if you need a stable reference for LIZETTE MANYI EBOT (PMHNP-BC).
Is LIZETTE MANYI EBOT (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LIZETTE MANYI EBOT (PMHNP-BC) work in?
You can think of LIZETTE MANYI EBOT (PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LIZETTE MANYI EBOT (PMHNP-BC) practice in Texas?
You will see Wichita Falls, Texas on file for LIZETTE MANYI EBOT (PMHNP-BC) alongside any extra practice locations.
What if Wichita Falls, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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