Ellen Grace Tebos, FNP-BC
NPI 1720626641ActiveIndividual· Nurse Practitioner, Family· Muskegon, MI
Nurse Practitioner, Family (FNP-BC) with County Line Primary Care, practicing in Muskegon, Michigan. 18 Medicare patients in 2024, $54,893 paid; nearly all of their 311 Part D prescriptions were generic (99%).
Overview
| NPI | 1720626641 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Dec 11, 2019 |
| Last updated in NPPES | Dec 11, 2019 |
| Certified by provider | Dec 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2019047894 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 489 across 3 procedure codes |
| Paid by Medicare | $54,893 |
Part D prescriptions in 2024
| Prescriptions (claims) | 311 · 324 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $13,781 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- County Line Primary CareJackson, KY · 10 clinicians
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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All 53 family nurse practitioners in Muskegon · All family nurse practitioners in Michigan