Mrs Nicole Ellen Bryan, RN, MSN, PMHNP-BC - Medicare Nurse Practitioner in Fairfield, NJ

  1. Home
  2. Nurse Practitioner
  3. NJ
  4. Fairfield
Mrs Nicole Ellen Bryan, RN, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairfield, New Jersey. Her current practice location is 165 Passaic Ave, Fairfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (800) 413-8020.

Mrs Nicole Ellen Bryan is licensed to practice in New Jersey (license number 26NJ15228500) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548076912.

Contact Information

Mrs Nicole Ellen Bryan, RN, MSN, PMHNP-BC
165 Passaic Ave,
Fairfield, NJ 07004-3521
(800) 413-8020
Not Available

Map and Direction




Provider's Profile

Full NameMrs Nicole Ellen Bryan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location165 Passaic Ave, Fairfield, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548076912
  • Provider Enumeration Date: 12/10/2024
  • Last Update Date: 07/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961932942
  • Enrollment ID: I20250205003139

Medical Identifiers

Medical identifiers for Mrs Nicole Ellen Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548076912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15228500 (New Jersey)Primary

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. Mrs Nicole Ellen Bryan allows following entities to bill medicare on her behalf.
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338
Entity NameMiddlesex Psychiatry & Tms Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053971572
PECOS PAC ID: 7315334000
Enrollment ID: O20220427002709

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. Mrs Nicole Ellen Bryan 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 AddressPractice Location Address
Mrs Nicole Ellen Bryan, RN, MSN, PMHNP-BC
165 Passaic Ave,
Fairfield, NJ 07004-3521

Ph: (800) 413-8020		Mrs Nicole Ellen Bryan, RN, MSN, PMHNP-BC
165 Passaic Ave,
Fairfield, NJ 07004-3521

Ph: (800) 413-8020

Reviews and Comments


Nurse Practitioner Nurses in Fairfield, NJ

Ms. Laural Diane Senatore, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 86 Plymouth St, Fairfield, NJ 07004
Phone: 973-227-7105    Fax: 973-882-8950
Lynn Malanka, RN, RNFA, APN.C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 695 Us Highway 46, Ste 400a, Fairfield, NJ 07004
Phone: 973-826-8291    Fax: 888-972-6480
Filomena Ilaria, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 271 Route 46 W Ste C110, Fairfield, NJ 07004
Phone: 862-505-9802    Fax: 888-357-4407
Ms. Christine B Adams,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 75 Lane Rd, Fairfield, NJ 07004
Phone: 917-300-8206    
Carla Fontange, LPN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 165 Passaic Ave, Fairfield, NJ 07004
Phone: 973-620-2370    
Dr. Jane C Dellert, PHD, RN, APN-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 25 Hollywood Ave, Fairfield, NJ 07004
Phone: 973-882-0880    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.