Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003660721 Individual Practitioner Female Practitioner

Amanda Irene Ebert

Peer Specialist • Ponca City, OK

Professional Overview & Biography Verified Profile Summary

Amanda Ebert is a registered healthcare professional specializing in Peer Specialist in Ponca City, OK. Practice services are available at 101 WHITE EAGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 White Eagle Dr

Ponca City, OK 746018307

Telephone 5807623421

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ponca City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
77 Specialists

Practicing in Ponca City, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Vivian Howe

Peer Specialist

NPI 1053090241
Matilda De La Garza

Case Manager/Care Coordinator

NPI 1063210722
Sheyenne Gomez

Peer Specialist

NPI 1073478624
Michael Degan , MCP, LADC, LPC

Counselor - Addiction (Substance Use Disorder)

NPI 1346621281

MCP, Licensed Alcohol and Drug Counselor, Licensed Professional Counselor

Jayla Pappan

Case Manager/Care Coordinator

NPI 1417793365
Dr. Julie Clark , PhD

Counselor - Mental Health

NPI 1487084968

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2024

Registered at 101 WHITE EAGLE DR, PONCA CITY, OK 746018307 (Tel: 5807623421)

📍
Updated Business Mailing Address April 17, 2024

Registered at 101 WHITE EAGLE DR, PONCA CITY, OK 746018307 (Tel: 5807623421)

👤
Provider Name / Credentials Updated April 17, 2024

Recorded as AMANDA EBERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration April 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003660721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2024
Last Update: April 17, 2024
Sole Proprietor: Yes

Mailing Address

101 White Eagle Dr

Ponca City, OK 746018307

Phone: 5807623421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.