Individual provider Active NPI

Ellie A Ebreo, NP

  • Ambulatory Women's Health Care Registered Nurse
  • Pharr, TX
National Provider Identifier
1164466140
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
688312 Issued in TX
Practice address
420 W Sam Houston St
Suite a
Pharr, TX 78577-5308
Phone
(956) 782-4002
Fax
(956) 687-6420
NPI assigned
Jun 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 688312 TX Primary

Addresses

Primary practice location

420 W Sam Houston St
Suite a
Pharr, TX 78577-5308

Mailing address

2500 Fullerton Ave
MC Allen, TX 78504
Phone (956) 867-5892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828001049 TX Practitioner - Nurse Practitioner 5991077836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Gholam a Kiani M.D.,P.a.Group PAC ID 7517237100, 5 clinicians

Practice addresses (Care Compare)

5121 N Jackson Rd
Suite 10
McAllen, TX 78504-6343

5121 N Jackson Rd
Suite 10
McAllen, TX 78504-6758
Phone (956) 803-0401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
688312TXMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gholam a. Kiani M.D.,P.a. CurrentSince Jun 30, 2017 Accepting new patients
Alberto D Duran M.D P.a. Past Accepting new patients
Jose R Fernandez Mdpa Past Accepting new patients

Locations

5121 N Jackson Rd
Ste 10
McAllen, TX 78504
Phone (956) 803-0401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164466140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FULLERTON AVE",
            "city": "MC ALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-867-5892",
            "fax_number": "956-686-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W SAM HOUSTON ST",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775308",
            "telephone_number": "956-782-4002",
            "fax_number": "956-687-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBREO",
        "first_name": "ELLIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "688312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.