Individual provider Active NPI

Ebony Harris, WHNP-BC

  • Women's Health Nurse Practitioner
  • Marshfield, WI
National Provider Identifier
1700214525
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
07542 Issued in LA
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals Inc 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Hospital & facility affiliations

  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20140422000911 LA Practitioner - Nurse Practitioner 8325270549 Reassigns benefits to 1 organization
I20260226001759 WI Practitioner - Nurse Practitioner 8325270549 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07542LAMDWomen's Health Nurse Practitioner
18030WIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 23, 2026 Accepting new patients
Swla Center for Health Services CurrentSince Jan 1, 2015 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 23, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 23, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 23, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Feb 23, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 23, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 23, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 23, 2026 Accepting new patients
Swla Center for Health Services CurrentSince Jan 1, 2015 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 23, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 23, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Feb 23, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 23, 2026 Accepting new patients
Swla Center for Health Services Past Accepting new patients
Trent Fogleman, M.D., LLC Women'S Health Past Accepting new patients

Locations

526 Crowley Rayne Hwy
Crowley, LA 70526
Phone (337) 783-1791

500 Patterson St
Lafayette, LA 70501
Phone (337) 769-9451

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

112 N Sixth St
Oberlin, LA 70655
Phone (337) 639-2281

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 18030 WI
Women's Health Nurse Practitioner 363LW0102X 07542 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

607 Bourdette Dr
Lafayette, LA 70507-5342
Phone (318) 792-9309

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2350706MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2026.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1700214525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BOURDETTE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705075342",
            "telephone_number": "318-792-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EBONY",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "18030",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "07542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350706",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.