Dr Jennifer Judith Castaneda-ardizzone, PMHNP DNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rochelle Park, New Jersey. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evergreen Medical Group Pc and her current practice location is
151 W Passaic St, Rochelle Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 516-0787.
Dr Jennifer Judith Castaneda-ardizzone is licensed to practice in New Jersey (license number 26NJ15122900) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659199065.
Provider's Profile
| Full Name | Dr Jennifer Judith Castaneda-ardizzone |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 2 Years |
|---|
| Location | 151 W Passaic St, Rochelle Park, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jennifer Judith Castaneda-ardizzone graduated from nursing school in 2024
NPI Data:
- NPI Number: 1659199065
- Provider Enumeration Date: 10/03/2024
- Last Update Date: 02/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 6901330364
- Enrollment ID: I20241108000468
Medical Identifiers
Medical identifiers for Dr Jennifer Judith Castaneda-ardizzone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659199065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ15122900 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Evergreen Medical Group Pc | 2769929082 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jennifer Judith Castaneda-ardizzone allows following entities to bill medicare on her behalf.
| Entity Name | Rutgers Health Behavioral Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
|---|
| Entity Name | Evergreen Medical Group Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295516409 PECOS PAC ID: 2769929082 Enrollment ID: O20240805002666 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Judith Castaneda-ardizzone is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jennifer Judith Castaneda-ardizzone, PMHNP DNP-BC 151 W Passaic St, Rochelle Park, NJ 07662-3105 Ph: () - | Dr Jennifer Judith Castaneda-ardizzone, PMHNP DNP-BC 151 W Passaic St, Rochelle Park, NJ 07662-3105 Ph: (908) 516-0787 |
Reviews and Comments