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

Nicole Spano, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1295077410

Nicole Spano, NURSEPRACTITIONER is a Nurse Practitioner in Freehold, New Jersey. Qualified in 2017, 9 years ago. Practices with Cpc Behavioral Healthcare Inc, a 58-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

22 Court St
Freehold, NJ 07728
Phone: (732) 780-7387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1083 McDonald Ave, Brooklyn, NY 11230 — (732) 672-8584

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00810400 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 606476 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR14764800 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 402203 (NY)

Record details

NPI number1295077410
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESNovember 6, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cpc Behavioral Healthcare Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Freehold