FREDDIE BAUTISTA
NPI 1124857826
Nurse Practitioner - Psychiatric/Mental Health in Elizabeth, NJ
About Freddie Bautista NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDDIE BAUTISTA (NPI 1124857826) is an individual psychiatric/mental health provider in Elizabeth, New Jersey, licensed in New Jersey (26NJ15087100) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Freddie Bautista is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinitas Regional Medical Center
Acute Care Hospitals · Elizabeth, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Freddie Bautista's NPI number?
The NPI number for Freddie Bautista is 1124857826. It was assigned to this individual provider in the NPPES registry on July 31, 2024.
Where is Freddie Bautista located?
Freddie Bautista practices at 220 W Jersey St Apt 1B, Elizabeth, NJ 07202. The listed phone number is (908) 230-8785.
What is Freddie Bautista's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Freddie Bautista enrolled in Medicare?
Yes. Freddie Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Freddie Bautista affiliated with any hospitals?
According to CMS data, Freddie Bautista is affiliated with Trinitas Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Freddie Bautista was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Freddie Bautista · NPI 1124857826
Psychiatric/Mental Health physician in Elizabeth, New Jersey. Individual provider, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1124857826 (Entity type: Individual)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15087100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 220 W JERSEY ST APT 1B, Elizabeth, NJ 07202-1314
- **Phone:** (908) 230-8785
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124857826) · Data from the CMS NPPES public registry.