MRS. TASHA ELLSBERRY (APRN, FNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1013466697
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MRS. TASHA ELLSBERRY (APRN, FNP, PMHNP-BC)
Ohio Avenue, Live Oak, Suwannee County, Florida, 32064, United States
LIVE OAK, FL 320644146
Phone: (386) 758-0003
Type: Mailing
Southwest Newland Way, Lake City, Columbia County, Florida, 32056, United States
LAKE CITY, FL 320256966
Phone: (386) 758-0003
Type: Location
13453 N MAIN ST STE 104
JACKSONVILLE, FL 322182773
Phone: (904) 773-4390
Fax: (941) 641-7089
Type: Mailing
3333 W 20TH ST
JACKSONVILLE, FL 322541703
Phone: (904) 930-9215
Fax: (941) 641-7089
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $223.
Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($121).
Total Amount
$223
General + Research + Ownership
Payments
7
Total payment records
General Amount
$223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $121 |
| Janssen Pharmaceuticals, Inc | $47 |
| Teva Pharmaceuticals USA, Inc. | $29 |
| ABBVIE INC. | $15 |
| Corium, LLC | $10 |
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: 2022-02-01
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 |
|---|---|---|---|---|
| I20220201000857 | 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.
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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 490 | 154 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 175 | 175 | $0 |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 120 | 37 | $0 |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | 56 | 24 | $0 |
| 99492 | Initial psychiatric collaborative care management, first calendar month, first 70 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 32064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL |
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