Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connie M Ebach, NP

Individual provider Nurse Practitioner · NPI 1053417493

Connie M Ebach, NP is a Nurse Practitioner in Fort Defiance, Arizona. Qualified in 2001, 25 years ago. Practices with Trenton Indian Service Area, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
25
Licensed in
ND
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 222 N 7th St, Bismarck, ND 58501-4436 — (701) 323-6000
  • 1058 College Dr, New Town, ND 58763-9112 — (701) 627-4750

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R22087 (ND)

Record details

NPI number1053417493
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESApril 23, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Trenton Indian Service Area — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Defiance