EBONI BROWN FREEMAN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083939235
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for EBONI BROWN FREEMAN (CRNP)
455 Pennsylvania Ave
Suite 105
Fort Washington, PA 190343403
Phone: (215) 793-4546
Fax: (215) 793-9007
Type: Location
600 GETTY AVE STE 101
CLIFTON, NJ 070112161
Phone: (201) 665-3066
Fax: (973) 200-8137
Type: Mailing
455, Pennsylvania Avenue, Fort Washington, Upper Dublin Township, Montgomery County, Pennsylvania, 19034, United States
SUITE 105
FORT WASHINGTON, PA 190343403
Phone: (215) 793-4546
Fax: (215) 793-9007
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($125).
Total Amount
$270
General + Research + Ownership
Payments
3
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $125 |
| ITI, Inc. | $125 |
| ABBVIE INC. | $20 |
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: 2011-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20110816000177 | I | Nurse Practitioner | NJ | 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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 464 | 255 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 386 | 202 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 113 | 113 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 43 | 33 | $0 |
Insurance plans in this area (ZIP 19034)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Geriatric Psychiatry, Psychiatry, Psychiatry | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | VA |
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