Individual provider Active NPI

Sherri Marie Nixon, DNP APN PMHNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Brielle, NJ
National Provider Identifier
1437726148
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
26NR15611500 Issued in NJ
Practice address
625 Cedarcrest Dr
Brielle, NJ 08730-2005
Phone
(360) 265-7662
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0809X 26NR15611500 NJ Primary

Addresses

Primary practice location

625 Cedarcrest Dr
Brielle, NJ 08730-2005

Mailing address

625 Cedarcrest Dr
Brielle, NJ 08730-2005
Phone (360) 265-7662

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
I20220128000277 NJ Practitioner - Nurse Practitioner 2668864422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR15611500NJMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1437726148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CEDARCREST DR",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087302005",
            "telephone_number": "360-265-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CEDARCREST DR",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087302005",
            "telephone_number": "360-265-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "SHERRI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP APN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NR15611500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brielle, NJ

Sources for this page

Verify at the official NPI Registry.