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

Raven Ebanez, APRN-CNP

Individual provider Family Medicine Physician · NPI 1265290837

Raven Ebanez, APRN-CNP is a Nurse Practitioner in Preston, Idaho. Qualified in 2023, 3 years ago. Practices with Franklin County Medical Center, a 25-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2024

Practice location Address checks out

44 N 1st E
Preston, ID 83263-1326
Phone: (208) 852-2900
Fax: (208) 852-3511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 59770 (ID)

Record details

NPI number1265290837
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Franklin County Medical Center — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Preston