FANTA MIAN
NPI 1477216224
Nurse Practitioner - Psychiatric/Mental Health in Hackensack, NJ

Active since October 19, 2021PECOS EnrolledAccepts Medicare Assignment
25 E SALEM ST, HACKENSACK, NJ 07601(973) 534-2734 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fanta Mian NPPES

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

FANTA MIAN (NPI 1477216224) is an individual psychiatric/mental health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ01202000) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477216224
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFANTA MIAN
Location Address25 E SALEM STHackensack, NJ 07601-7427
Mailing Address2552 Standish AveUnion, NJ 07083-4939 · (973) 534-2734
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 19, 2021
Last NPPES UpdateJune 2, 2022
NPPES CertifiedMay 29, 2022
NPI 1477216224 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 · 26NJ01202000
25 E SALEM ST, Hackensack, NJ 07601

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

Fanta Mian 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 ID7517350077
PECOS Enrollment IDI20220203002662
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
25 E SALEM ST
HACKENSACK, NJ 07601
Home Health
25 E SALEM ST
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
25 E SALEM ST
HACKENSACK, NJ 07601
Home Health
25 E SALEM ST
HACKENSACK, NJ 07601
Pharmacist
25 E SALEM ST
HACKENSACK, NJ 07601
Social Worker (Clinical)
25 E SALEM ST
HACKENSACK, NJ 07601
Respite Care
25 E SALEM ST
HACKENSACK, NJ 07601
Clinic/Center (Federally Qualified Health Center (FQHC))
25 E SALEM ST
HACKENSACK, NJ 07601

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 Fanta Mian's NPI number?

The NPI number for Fanta Mian is 1477216224. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Fanta Mian located?

Fanta Mian practices at 25 E Salem St, Hackensack, NJ 07601. The listed phone number is (973) 534-2734.

What is Fanta Mian's specialty?

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

Is Fanta Mian enrolled in Medicare?

Yes. Fanta Mian 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.

When was this NPI record last updated?

The NPPES record for Fanta Mian was last updated on June 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.