Gabriella Ebers, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2021041084 Issued in MO

Practice address

163 Medical Dr Ste 100
Hannibal, MO 63401-6884

Phone

(573) 719-1818

Fax

(573) 719-1818

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.68 of 100Reported as group

Quality

98.81

Improvement activities

40

Cost

80.52

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Dermatology and Skin Cancer Specialists, LLC

  • Dermatology Physician
  • Leawood, KS
  • NPI 1205880846
  Medicare reassignment Care Compare group
• Dermatology and Skin Cancer Specialists, LLC.

  dba Dermatology and Skin Cancer Center - Lee's Summit

  • Dermatology Physician
  • Lee's Summit, MO
  • NPI 1366632697
  Medicare reassignment NPD
• Riverside Dermatology & Spa LLC

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1699262329
  Medicare reassignment
• Integrated Dermatology of Northeast Missouri LLC

  • Dermatology Physician
  • Hannibal, MO
  • NPI 1992518658
  NPD
• Skin & Mohs Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lee's Summit, MO
  • NPI 1881875227
  NPD
• Skin & Mohs Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Leawood, KS
  • NPI 1669577524
  NPD

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1265194831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MEDICAL DR STE 100",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016884",
            "telephone_number": "573-719-1818",
            "fax_number": "573-719-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MEDICAL DR STE 100",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016884",
            "telephone_number": "573-719-1818",
            "fax_number": "573-719-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8676 County Road 346",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MO",
            "postal_code": "634712215",
            "country_code": "US",
            "telephone_number": "573-719-1818",
            "fax_number": "573-719-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERS",
        "first_name": "GABRIELLA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021041084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Durbin, M.S. CCC-SLP
• Sarvalakshmi Duriseti, M.D.
• Megan Dwyer, DENTIST
• Kelli Eagan, APRN-FNP-C
• Natashia Early, LPN
• Mary L. Eby
• Edward a. Cline, DPM, PC
• Thaddeus Carl Edwardson, DMD
• Addison Eger, RDH
• Cynthia J Ehrhardt, MA, LCSW

• Physician Assistant in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.