EBONI BROWN FREEMAN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083939235

EBONI BROWN FREEMAN (CRNP) is a healthcare provider. based in Fort washington, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP010648 (NJ). The NPI Number for EBONI BROWN FREEMAN (CRNP) is 1083939235

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
EBONI BROWN FREEMAN (CRNP)
NPI
1083939235
Phone
(215) 793-4546
Address
455 Pennsylvania Ave
Enumeration Date
31 March 2010
Last Update Date
18 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9732956335
Graduation Year
2009 (17 years ago)
PAC ID
7214065218
Group Practice PAC ID
7719013267
Professional Enrollment ID
I20110816000177
Address ID
NJ079271106CE14XXXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110816000177INurse PractitionerNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes464255$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes386202$0
90792Psychiatric diagnostic evaluation with medical services113113$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4333$0
View full utilization report →

Insurance plans in this area (ZIP 19034)

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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: 7719013267View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
Nurse PractitionerNJ
Geriatric Psychiatry, Psychiatry, PsychiatryNJ
-NJ
Nurse PractitionerNJ
Nurse PractitionerVA

Reviews

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Frequently asked questions

Can I cross-check EBONI BROWN FREEMAN (CRNP) using NPI 1083939235?
NPI 1083939235 belongs to EBONI BROWN FREEMAN (CRNP); compare other details if you need extra assurance.
Would EBONI BROWN FREEMAN (CRNP) appear as active to a payer?
You can treat EBONI BROWN FREEMAN (CRNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe EBONI BROWN FREEMAN (CRNP)'s focus?
For EBONI BROWN FREEMAN (CRNP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is EBONI BROWN FREEMAN (CRNP) located near Fort Washington?
EBONI BROWN FREEMAN (CRNP) currently maps to Fort Washington, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for EBONI BROWN FREEMAN (CRNP) is noted as March 31, 2010 where the registry provides it.

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