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DR. EVAN DOUGLAS FEDERICI PMHNP-BC
NPI 1598595159
Nurse Practitioner - Psychiatric/Mental Health in Eatontown, NJ

Active since August 07, 2024PECOS Enrolled
615 HOPE RD STE 3B, EATONTOWN, NJ 07724(732) 724-1234 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2025, Mar 25, 2025, Oct 7, 2024 and 3 more (6 updates tracked since 2024).

About Dr. Evan Douglas Federici Pmhnp-bc NPPES

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

DR. EVAN DOUGLAS FEDERICI PMHNP-BC (NPI 1598595159) is an individual psychiatric/mental health provider in Eatontown, New Jersey, licensed in New Jersey (26NJ15110100) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1598595159
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. EVAN DOUGLAS FEDERICICredential: PMHNP-BC
Location Address615 HOPE RD STE 3BEatontown, NJ 07724-1273
Mailing Address615 Hope Rd Ste 3bEatontown, NJ 07724-1273 · (732) 724-1234 · Fax (732) 532-0801
Phone(732) 724-1234
Sole ProprietorYes
Enumeration DateAugust 7, 2024
Last NPPES UpdateApril 13, 20256 updates tracked since enumeration
NPPES CertifiedApril 13, 2025
✔ NPI 1598595159 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
Licenses✔ Licensed in NJ · 26NJ15110100✔ Licensed in NJ · 26NR20562100
615 HOPE RD STE 3B, Eatontown, NJ 07724
Open in Google Maps ↗

Secondary Practice Location 1

Location 1147 Marina Dr Apt LEdison, NJ 08817-6145 · Phone (973) 376-0002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Douglas Federici Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Evan Federici reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Mental & Behavioral Services, Inc
Same address
Mental Health (Including Community Mental Health Center)
615 HOPE RD STE 3B
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1114599305 (732) 735-4256
Brain Ways LLC
32 mi
Clinic/Center
13 HARRIS CT
Lawrence, NJ 08648
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1801556691 (609) 815-5618

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 07724 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.

ASHLEY MENICHINI
Social Worker
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 735-4256
KELSEY SCALFARO LSW
Social Worker (Clinical)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
BRIAN FREDA
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
MATTHEW DALTON CRONIN LAC
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
DAVID FREDA
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
SHANNON MARIE CAHILL LAC
Counselor (Professional)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
KIMBERLY ANN MENCK LAC
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234

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 Evan Federici's NPI number?

The NPI number for Evan Federici is 1598595159. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Evan Federici located?

Evan Federici practices at 615 Hope Rd Ste 3B, Eatontown, NJ 07724. The listed phone number is (732) 724-1234.

What is Evan Federici's specialty?

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

Is Evan Federici enrolled in Medicare?

Yes. Evan Federici is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Federici's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Federici reassigns Medicare benefits to 2 organizations: Premier Mental & Behavioral Services, Inc (Eatontown, NJ) and Brain Ways LLC (Lawrence, 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 Evan Federici's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Federici was last updated on April 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.