MRS. SAMANTHA MARIE D'AVERSO MSN, RN, PMHNP-BC
NPI 1891592291
Nurse Practitioner - Psychiatric/Mental Health in Long Branch, NJ
About Mrs. Samantha Marie D'averso Msn, Rn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA MARIE D'AVERSO MSN, RN, PMHNP-BC (NPI 1891592291) is an individual psychiatric/mental health provider in Long Branch, New Jersey, licensed in New Jersey (26NJ15271000) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Samantha Marie D'averso Msn, Rn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monmouth Medical Center
Acute Care Hospitals · Long Branch, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07740 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BRANCH, NJ 07740
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 Samantha D'averso's NPI number?
The NPI number for Samantha D'averso is 1891592291. It was assigned to this individual provider in the NPPES registry on February 25, 2025.
Where is Samantha D'averso located?
Samantha D'averso practices at 75 N Bath Ave, Long Branch, NJ 07740. The listed phone number is (732) 923-6500.
What is Samantha D'averso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha D'averso enrolled in Medicare?
Yes. Samantha D'averso is registered in the Medicare PECOS enrollment system.
Is Samantha D'averso affiliated with any hospitals?
According to CMS data, Samantha D'averso is affiliated with Monmouth Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha D'averso was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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. Samantha Marie D'averso, MSN, RN, PMHNP-BC · NPI 1891592291
Psychiatric/Mental Health physician in Long Branch, New Jersey. Individual provider, active in the CMS NPPES registry since February 25, 2025.
## Identity
- **NPI:** 1891592291 (Entity type: Individual)
- **Enumerated:** February 25, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15271000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 N BATH AVE, Long Branch, NJ 07740-6317
- **Phone:** (732) 923-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** February 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1891592291) · Data from the CMS NPPES public registry.