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ANDREA L ZAWADZKY PMHNP-BC
NPI 1316620149
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since August 09, 2023PECOS EnrolledAccepts Medicare Assignment
MODERN PSYCHIATRY, 20 HOSPITAL DRIVE, SUITE 4, TOMS RIVER, NJ 08755(732) 831-6094(732) 832-3632 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2025, Nov 15, 2023, Aug 9, 2023 (3 updates tracked since 2023).

About Andrea L Zawadzky Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA L ZAWADZKY PMHNP-BC (NPI 1316620149) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ14892600) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316620149
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANDREA L ZAWADZKYCredential: PMHNP-BC
Location AddressMODERN PSYCHIATRY, 20 HOSPITAL DRIVE, SUITE 4Toms River, NJ 08755-0875
Mailing Address114 Hooper AveToms River, NJ 08753-7606 · (908) 309-7200 · Fax (732) 506-5328
Phone(732) 831-6094
Fax(732) 832-3632
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 9, 2023
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1316620149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ14892600✔ Licensed in LA · 234523✔ Licensed in VA · 0024188444✔ Licensed in KY · 4010896
MODERN PSYCHIATRY, Toms River, NJ 08755
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1604 Locust RdBrielle, NJ 08730-1716 · Phone (908) 309-7200
Location 2Ocean County Jail, 114 Hooper AvenueToms River, NJ 08754 · Phone (732) 299-2043 ext. 2296

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea L Zawadzky Pmhnp-bc 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.

PECOS PAC ID8729512561
PECOS Enrollment IDI20241115000756, I20241219002461, I20250618003828, I20250626002933, I20250919001732, I20260205001447
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Zawadzky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Modern Psychiatry Nj PC
9.9 mi
Neurology
40 BEY LEA RD STE C101
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1093419475 (732) 831-6094
Jersey Medical Care,pc
22 mi
Child & Adolescent Psychiatry
100 BELCHASE DR STE 101
Matawan, NJ 07747
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1033232558 (732) 707-4100
Modern Psychiatry, PA
890 mi
Mental Health (Including Community Mental Health Center)
365 WEKIVA SPRINGS RD STE 231
Longwood, FL 32779
  • Reassigned Medicare billing, Florida, Kentucky, Louisiana, Texas and Virginia enrollments
  • 8 clinicians in this Medicare group
NPI 1225725690 (845) 366-6115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Zawadzky's NPI number?

The NPI number for Andrea Zawadzky is 1316620149. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Andrea Zawadzky located?

Andrea Zawadzky practices at Modern Psychiatry 20 Hospital Drive, Suite 4, Toms River, NJ 08755. The listed phone number is (732) 831-6094.

What is Andrea Zawadzky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Zawadzky enrolled in Medicare?

Yes. Andrea Zawadzky 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.

Which organizations bill Medicare for Andrea Zawadzky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Zawadzky reassigns Medicare benefits to 3 organizations: Modern Psychiatry Nj PC (Toms River, NJ), Jersey Medical Care,pc (Matawan, NJ) and Modern Psychiatry, PA (Longwood, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Zawadzky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Zawadzky accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Andrea Zawadzky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Zawadzky was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.