RACHAEL HEADDEN
NPI 1528785490
Nurse Practitioner in Freehold, NJ

Active since October 21, 2022PECOS EnrolledAccepts Medicare Assignment
901 W MAIN ST, FREEHOLD, NJ 07728(732) 431-2000 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachael Headden NPPES

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

RACHAEL HEADDEN (NPI 1528785490) is an individual nurse practitioner in Freehold, New Jersey, licensed in New Jersey (26NJ01386400) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Brunswick, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528785490
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL HEADDEN
Location Address901 W MAIN STFreehold, NJ 07728-2549
Mailing Address23 Eugene BlvdSouth Amboy, NJ 08879-1906 · (732) 616-8636
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 21, 2022
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1528785490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ01386400
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
901 W MAIN ST, Freehold, NJ 07728

Other Names 1

Other Name (5)Rachael Headden Apn

Secondary Practice Location 1

Location 11 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (732) 828-3000

Accepted 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

Rachael Headden 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 ID5597120535
PECOS Enrollment IDI20230427000432
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

4

Medicare enrollment records show Rachael Headden reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group

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 07728 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
901 W MAIN ST
FREEHOLD, NJ 07728
Community Health Worker
901 W MAIN ST
FREEHOLD, NJ 07728
Nurse Practitioner (Family)
901 W MAIN ST
FREEHOLD, NJ 07728
Surgery
901 W MAIN ST, SUITE 107
FREEHOLD, NJ 07728
Surgery
901 W MAIN ST
FREEHOLD, NJ 07728
Nurse Practitioner (Adult Health)
901 W MAIN ST
FREEHOLD, NJ 07728
Radiology (Diagnostic Radiology)
901 W MAIN ST, MEDICAL ARTS BUILDING
FREEHOLD, NJ 07728
Radiology (Diagnostic Radiology)
901 W MAIN ST
FREEHOLD, NJ 07728

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 Rachael Headden's NPI number?

The NPI number for Rachael Headden is 1528785490. It was assigned to this individual provider in the NPPES registry on October 21, 2022. The provider is also known as Rachael Headden Apn.

Where is Rachael Headden located?

Rachael Headden practices at 901 W Main St, Freehold, NJ 07728. The listed phone number is (732) 431-2000.

What is Rachael Headden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachael Headden enrolled in Medicare?

Yes. Rachael Headden 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 Rachael Headden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Headden reassigns Medicare benefits to 4 organizations: Robert Wood Johnson Medical Associates (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Plover Inpatient Services LLC (Montclair, NJ). 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 Rachael Headden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Headden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rachael Headden 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 Rachael Headden was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.