BEVERLY LEE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063169738
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,219 NURSE PRACTITIONER in CT
Provider Addresses for BEVERLY LEE (PMHNP-BC)
540 LITCHFIELD ST
TORRINGTON, CT 067906679
Phone: (972) 449-0540
Type: Location
PO BOX 744786
ATLANTA, GA 303744786
Phone:
Type: Mailing
1337 E GARRISON BLVD
GASTONIA, NC 280545127
Phone: (980) 229-2760
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: 2025-10-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20220621003255 | I | Nurse Practitioner | NC | TBD |
| I20250128001536 | I | Nurse Practitioner | FL | TBD |
| I20250129002543 | I | Nurse Practitioner | ID | TBD |
| I20250508003475 | I | Nurse Practitioner | IA | TBD |
| I20250512001938 | I | Nurse Practitioner | WA | TBD |
| I20251023001787 | I | Nurse Practitioner | CT | TBD |
| I20251023004715 | I | Nurse Practitioner | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06790)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TX | |
| - | NY | |
| - | SC | |
| Hospitalist, Internal Medicine, Internal Medicine | GA | |
| Internal Medicine, Hospitalist, Internal Medicine, Pulmonary Disease | SC | |
| Internal Medicine, Hospitalist | NE | |
| Nurse Practitioner | OH | |
| N E U R O L O G Y | LA | |
| N E U R O L O G Y | CT |
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