The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Odessa and Florida

18 active clinicians are listed under Nurse Practitioner - Family with a practice address in Odessa, FL (22,366 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Odessa

5.6% of these 18 clinicians have the CMS telehealth indicator.

33.3% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES FL ARNP9309391

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

📍

Updated Practice Location April 30, 2019

Registered at 16400 ROLLINGBROOK DR, ODESSA, FL 335564907 (Tel: 8137876830)

✅

NPI Profile Active October 31, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 31, 2018

Registered at 4620 N HABANA AVE STE 202, TAMPA, FL 336147107 (Tel: 8134503457)

📍

Business Mailing Address (Initial Record) October 31, 2018

Registered at 16400 ROLLINGBROOK DR, ODESSA, FL 335564907 (Tel: 8137876830)

👤

Provider Name / Credentials (Initial Record) October 31, 2018

Recorded as MICHAEL EBRADA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2018

Nurse Practitioner (license number reported to NPPES: FL ARNP9309391)

🟢

Initial NPI Registration & Enumeration October 31, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841767597

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2018

Last Update: April 30, 2019

Sole Proprietor: No

Update or Correct Profile

Other Nurse Practitioner - Family Specialists in Odessa

Mailing Address

16400 Rollingbrook Dr

Odessa, FL 335564907

Phone: 8137876830

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.