MRS. MACKENZI EBERLY (FNP-C) – Family Nurse Practitioner, NPI 1598146433
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MRS. MACKENZI EBERLY (FNP-C)
215 CHISHOLM TRL
JACKSBORO, TX 764581403
Phone: (940) 567-6633
Fax: (940) 567-2895
Type: Mailing
PO BOX 2088
SHALLOWATER, TX 793632088
Phone: (806) 832-4566
Fax: (068) 324-1438
Type: Mailing
1502 12TH ST STE A
SHALLOWATER, TX 793635651
Phone: (806) 832-4566
Fax: (806) 832-4143
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Amgen Inc. ($135).
Total Amount
$135
General + Research + Ownership
Payments
9
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $135 |
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: 2017-06-02
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 |
|---|---|---|---|---|
| I20170602001183 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 520 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 394 | 237 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 345 | 68 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 285 | 122 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 214 | 47 | $0 |
Insurance plans in this area (ZIP 76458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Family Practice | TX |
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