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
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
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.
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.
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 24 days 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
- **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.