Doctor profile · Federal record

Dr. Connie Ebach, NP

Nurse Practitioner · Fort Defiance, AZ

  • NPI 1053417493
  • Accepts Medicare
  • 25 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
Corner of Route N12 and N7
Fort Defiance, AZ 86504
(928) 729-8000
Additional location
1058 College Dr
New Town, ND 587639112
(701) 627-4750
fax (701) 627-2809
Additional location
222 N 7Th St
Bismarck, ND 585014436
(701) 323-6000
fax (701) 323-5709
Mailing address
Po Box 649
Fort Defiance, AZ 865040649

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
April 23, 2025
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
North Dakota #R22087
Medicaid
ND #19686

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053417493. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
214
Distinct HCPCS
9
Medicare allowed
$6,378
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 59 40 $75
36415 Insertion of needle into vein for collection of blood sample 37 28 $8
83036 Hemoglobin a1c level 24 19 $10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 23 20 $8
80061 Blood test, lipids (cholesterol and triglycerides) 16 16 $13
81003 Automated urinalysis test 16 13 $2
99212 Established patient office or other outpatient visit, 10-19 minutes 15 15 $47
80053 Blood test, comprehensive group of blood chemicals 13 13 $10
82607 Cyanocobalamin (vitamin b-12) level 11 11 $15

In context: peer comparison

Among 4 peers in this city , average services per provider: 47. This provider delivers 4.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
124
Patients
0
Total drug cost
$18,821
Drug Type Claims Patients Total cost
Alendronate Sodium Generic 18 0 $170
Atorvastatin Calcium Generic 18 0 $211
Ozempic (Semaglutide) Brand 17 0 $15,791
Lisinopril Generic 15 0 $28
Gabapentin Generic 12 0 $122
Anastrozole Generic 11 0 $107
Enalapril Maleate Generic 11 0 $276
Synthroid (Levothyroxine Sodium) Brand 11 0 $461
Wixela Inhub (Fluticasone Propion/Salmeterol) Brand 11 0 $1,655

Frequently asked questions

Auto-generated from federal data
What is Dr. Connie Ebach's medical specialty?
Dr. Connie Ebach practices Nurse Practitioner in Fort Defiance, AZ.
Where does Dr. Connie Ebach practice?
Dr. Connie Ebach practices at Corner of Route N12 and N7, Fort Defiance, AZ 86504. Office phone: 9287298000.
What is Dr. Connie Ebach's NPI?
Dr. Connie Ebach's National Provider Identifier (NPI) is 1053417493, issued by NPPES.
Does Dr. Connie Ebach accept Medicare assignment?
Yes. Dr. Connie Ebach accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Connie Ebach commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.