MS. OLUBIMPE RUTH FREEMAN RN
NPI 1851089098
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since April 26, 2023PECOS Enrolled
16 VANDERBILT AVE, STATEN ISLAND, NY 10304(347) 682-9704 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Olubimpe Ruth Freeman Rn NPPES

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

MS. OLUBIMPE RUTH FREEMAN RN (NPI 1851089098) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (408441) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851089098
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. OLUBIMPE RUTH FREEMANCredential: RN
Location Address16 VANDERBILT AVEStaten Island, NY 10304-2605
Mailing Address16 Vanderbilt AveStaten Island, NY 10304-2605 · (347) 682-9704
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 26, 2023
Last NPPES UpdateApril 25, 2026
NPPES CertifiedApril 25, 2026
✔ NPI 1851089098 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 NY · 408441
16 VANDERBILT AVE, Staten Island, NY 10304

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Olubimpe Ruth Freeman Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537627435
PECOS Enrollment IDI20260820004488
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 Reassignment

Medicare enrollment records show Olubimpe Freeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction (Substance Use Disorder)
1007 QUENTIN RD
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Jewish Board Of Family & Childrens Services Inc
  • 358 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 10304 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Olubimpe Freeman's NPI number?

The NPI number for Olubimpe Freeman is 1851089098. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Olubimpe Freeman located?

Olubimpe Freeman practices at 16 Vanderbilt Ave, Staten Island, NY 10304. The listed phone number is (347) 682-9704.

What is Olubimpe Freeman's specialty?

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

Is Olubimpe Freeman enrolled in Medicare?

Yes. Olubimpe Freeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olubimpe Freeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olubimpe Freeman reassigns Medicare benefits to Jewish Board Of Family And Children's Services, Inc. (Brooklyn, NY). The 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 Olubimpe Freeman'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 Olubimpe Freeman was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.