Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Freddie Bautista

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124857826

Freddie Bautista is a Nurse Practitioner in Elizabeth, New Jersey. Qualified in 2023, 3 years ago. Practices with Barnabas Health Medical Group, PC, a 255-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

220 W Jersey St Apt 1B
Elizabeth, NJ 07202-1314
Phone: (908) 230-8785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15087100 (NJ)

Record details

NPI number1124857826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Barnabas Health Medical Group, Pc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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