GARY C. JEAN (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306544473

Psychiatric/Mental Health Nurse Practitioner

GARY C. JEAN (MSN, PMHNP-BC) is a healthcare provider. based in Avenel, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. F405456-01 (NY). The NPI Number for GARY C. JEAN (MSN, PMHNP-BC) is 1306544473

Main info

Male

Sole Proprietor

4 Years Of Experience

Accepts Medicare Assignment

Name

GARY C. JEAN (MSN, PMHNP-BC)

NPI

1306544473

Phone

(347) 824-5767

Address

600 Station Dr Apt 625

Enumeration Date

20 February 2023

Last Update Date

2 October 2025

Doctor Profile

Medical School Name

UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE

Secondary Phone

2019353322

Graduation Year

2022 (4 years ago)

PAC ID

2466813985

Group Practice PAC ID

4486640653

Professional Enrollment ID

I20230801001032

Address ID

NJ070711930LY516XXAVEX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness85

Years active:3State licenses:3Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for GARY C. JEAN (MSN, PMHNP-BC)

600 Station Dr Apt 625
Avenel, NJ 070011868
Phone: (347) 824-5767
Type: Location
600 STATION DR APT 625
AVENEL, NJ 070011868
Phone: (347) 824-5767
Type: Mailing
233 MOUNT AIRY RD STE 100
BASKING RIDGE, NJ 079202338
Phone: (973) 304-5695
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230801001032	I	Nurse Practitioner	NJ	TBD
I20240131001990	I	Nurse Practitioner	NY	TBD
I20250507001082	I	Nurse Practitioner	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4486640653View full group profile

Name	Specialty	State
STEPHANIE WOLFERSBERGER (MSW, LCSW)	Clinical Social Worker	NJ
MR. BENJAMIN ABEL MEYER (LCSW)	-	NY
MRS. LUZ COLOMBIA TORRES (M.A.,ED.S., LPC)	Mental Health Counselor	NJ
OYENIKE O. EMIOLA (PMHNP- BC)	Nurse Practitioner	NJ
MS. DILEINY PAULINO (LAC)	Mental Health Counselor	NJ
VALERIE HOLSINGER (LCSW)	-	NJ
ZISALO WANCIER (M.D.)	P S Y C H I A T R Y	NJ
SHANY SHAJI (APN)	Nurse Practitioner	NJ
MR. THOMAS J ZACHARIAS (LCSW)	Clinical Social Worker	NJ
Unknown Individual	-	NJ

Reviews

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Frequently asked questions

Is there an official ID for GARY C. JEAN (MSN, PMHNP-BC) in U.S. healthcare records?

The official identifier for GARY C. JEAN (MSN, PMHNP-BC) is NPI 1306544473.

Would GARY C. JEAN (MSN, PMHNP-BC) appear as active to a payer?

You can treat GARY C. JEAN (MSN, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.

What clinical focus is listed for GARY C. JEAN (MSN, PMHNP-BC)?

At a glance, GARY C. JEAN (MSN, PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is GARY C. JEAN (MSN, PMHNP-BC) associated with Avenel?

Public fields place GARY C. JEAN (MSN, PMHNP-BC) around Avenel, New Jersey. Always confirm the exact site before visiting.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.