MRS. NICOLE ELLEN BRYAN RN, MSN, PMHNP-BC
NPI 1548076912
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, NJ
About Mrs. Nicole Ellen Bryan Rn, Msn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE ELLEN BRYAN RN, MSN, PMHNP-BC (NPI 1548076912) is an individual psychiatric/mental health provider in Fairfield, New Jersey, licensed in New Jersey (26NJ15228500) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Mrs. Nicole Ellen Bryan Rn, Msn, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Bryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, NJ 07004
- Reassigned Medicare billing, New Jersey enrollment
- 78 clinicians in this Medicare group
Mount Holly, NJ 08060
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 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 07004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, NJ 07004
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 Nicole Bryan's NPI number?
The NPI number for Nicole Bryan is 1548076912. It was assigned to this individual provider in the NPPES registry on December 10, 2024.
Where is Nicole Bryan located?
Nicole Bryan practices at 165 Passaic Ave, Fairfield, NJ 07004. The listed phone number is (800) 413-8020.
What is Nicole Bryan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Bryan enrolled in Medicare?
Yes. Nicole Bryan 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 Nicole Bryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bryan reassigns Medicare benefits to 2 organizations: Middlesex Psychiatry & Tms PC (Fairfield, NJ) and Virtua Medical Group, PA (Mount Holly, 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 Nicole Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Bryan accept?
Health plans from Oscar Health list Nicole Bryan 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 Nicole Bryan was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Nicole Ellen Bryan, RN, MSN, PMHNP-BC · NPI 1548076912
Psychiatric/Mental Health physician in Fairfield, New Jersey. Individual provider, active in the CMS NPPES registry since December 10, 2024.
## Identity
- **NPI:** 1548076912 (Entity type: Individual)
- **Enumerated:** December 10, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15228500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 165 PASSAIC AVE, Fairfield, NJ 07004-3521
- **Phone:** (800) 413-8020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Middlesex Psychiatry & Tms PC (NPI 1053971572, Fairfield, NJ); Virtua Medical Group, PA (NPI 1851841696, Mount Holly, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548076912) · Data from the CMS NPPES public registry.