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NENETTE CUADRA PMHNP-BC
NPI 1386437192
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since May 24, 2025PECOS EnrolledAccepts Medicare Assignment
20 HOSPITAL DR STE 8, TOMS RIVER, NJ 08755(732) 831-6094 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nenette Cuadra Pmhnp-bc NPPES

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

NENETTE CUADRA PMHNP-BC (NPI 1386437192) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ15332600) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386437192
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNENETTE CUADRACredential: PMHNP-BC
Location Address20 HOSPITAL DR STE 8Toms River, NJ 08755-6434
Mailing Address20 Hospital Dr Ste 8Toms River, NJ 08755-6434 · (732) 831-6094
Phone(732) 831-6094
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 24, 2025
NPPES CertifiedMay 24, 2025
✔ NPI 1386437192 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
License✔ Licensed in NJ · 26NJ15332600
20 HOSPITAL DR STE 8, Toms River, NJ 08755
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Nenette Cuadra 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 ID1254836398
PECOS Enrollment IDI20250927000693
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

2

Medicare enrollment records show Nenette Cuadra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Modern Psychiatry Nj PC
2.0 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
Modern Psychiatry, PA
878 mi
Mental Health (Including Community Mental Health Center)
365 WEKIVA SPRINGS RD STE 231
Longwood, FL 32779
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 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 Nenette Cuadra's NPI number?

The NPI number for Nenette Cuadra is 1386437192. It was assigned to this individual provider in the NPPES registry on May 24, 2025.

Where is Nenette Cuadra located?

Nenette Cuadra practices at 20 Hospital Dr Ste 8, Toms River, NJ 08755. The listed phone number is (732) 831-6094.

What is Nenette Cuadra's specialty?

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

Is Nenette Cuadra enrolled in Medicare?

Yes. Nenette Cuadra 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 Nenette Cuadra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nenette Cuadra reassigns Medicare benefits to 2 organizations: Modern Psychiatry Nj PC (Toms River, 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 Nenette Cuadra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nenette Cuadra accept?

Health plans from Oscar Health list Nenette Cuadra 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 Nenette Cuadra was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.