Connie M. Ebach, NP
NPI 1053417493ActiveIndividual· Nurse Practitioner· Fort Defiance, AZ
Nurse Practitioner (NP) with McKenzie County Healthcare Systems Inc and 1 other group, practicing in Fort Defiance, Arizona. Their prescriptions cost Medicare Part D more than their services did: $24,073 for 337 claims, against $2,846 paid for services in 2024. Lists Chi St Alexius Health Williston as a hospital affiliation.
Overview
| NPI | 1053417493 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R22087 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ND); Practitioner - Nurse Practitioner (NM); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 177 across 26 procedure codes |
| Paid by Medicare | $2,846 |
Part D prescriptions in 2024
| Prescriptions (claims) | 337 · 407 30-day fills |
|---|---|
| Patients | 32 |
| Total drug cost | $24,073 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- McKenzie County Healthcare Systems IncWatford City, ND · 66 clinicians
- Trenton Indian Service AreaTrenton, ND · 8 clinicians
Hospital affiliation
- Chi St Alexius Health WillistonWilliston, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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