Nicole Ebalo
NPI 1073193546 · Student in an Organized Health Care Education/Training Program · Fayetteville, NC
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Ebalo is a Student in an Organized Health Care Education/Training Program provider in Fayetteville, NC (NPI 1073193546).
Provider details
- NPI number
- 1073193546
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-09
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Frequently asked questions
- What is Nicole Ebalo's NPI number?
- Nicole Ebalo's National Provider Identifier (NPI) is 1073193546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Ebalo's specialty?
- Nicole Ebalo is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Nicole Ebalo located?
- Nicole Ebalo's practice location on file with NPPES is 1638 Owen Drive, Fayetteville, NC 28304.
- What is Nicole Ebalo's phone number?
- The practice phone number listed in the NPPES registry for Nicole Ebalo is (910) 615-4000.
- Does Nicole Ebalo accept Medicare?
- Nicole Ebalo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Ebalo's NPI active?
- Yes — Nicole Ebalo's NPI (1073193546) is active in the NPPES registry as of the last update on 2021-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.