Individual provider Active NPI

Jessica Mandle, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1013874031
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15476000 Issued in NJ
Practice address
7 Hendrickson Ave
Red Bank, NJ 07701-6122
Phone
(732) 893-5316
Fax
(732) 898-3559
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15476000 NJ Primary

Addresses

Primary practice location

7 Hendrickson Ave
Red Bank, NJ 07701-6122

Mailing address

7 Hendrickson Ave
Red Bank, NJ 07701-6122
Phone (732) 893-5316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217004174 NJ Practitioner - Nurse Practitioner 8921588955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Abby Road Psychiatric Services LLCGroup PAC ID 1658615638, 11 clinicians

Practice addresses (Care Compare)

7 Hendrickson Ave
Red Bank, NJ 07701-6122
Phone (732) 893-5316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15476000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Road Psychiatric Services LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

7 Hendrickson Ave
Red Bank, NJ 07701
Phone (732) 893-5314

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1013874031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HENDRICKSON AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016122",
            "telephone_number": "732-893-5316",
            "fax_number": "732-898-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HENDRICKSON AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016122",
            "telephone_number": "732-893-5316",
            "fax_number": "732-898-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDLE",
        "first_name": "JESSICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15476000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.