TYSAM CHADLI BECKETT (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114349735
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for TYSAM CHADLI BECKETT (APRN, PMHNP-BC)
1800 MERCY DR
SUITE 302
ORLANDO, FL 328085646
Phone: (407) 875-3700
Fax: (407) 522-4671
Type: Mailing
10821 FOXHOLE RD
CLERMONT, FL 347118013
Phone: (407) 408-4433
Type: Mailing
10821 Foxhole Rd
Clermont, FL 347118013
Phone: (407) 408-4433
Type: Location
17011 STATE ROAD 50 STE 301
CLERMONT, FL 347118203
Phone: (833) 769-3524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2023-03-27 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($66).
Total Amount
$66
General + Research + Ownership
Payments
1
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $66 |
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: 2021-09-13
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 |
|---|---|---|---|---|
| I20210913001115 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 19 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 37 | 18 | $0 |
Insurance plans in this area (ZIP 32808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| Clinical Psychologist | GA | |
| Nurse Practitioner | GA | |
| Clinical Psychologist | GA | |
| Marriage And Family Therapist | GA | |
| P S Y C H I A T R Y | GA | |
| Clinical Psychologist | GA |
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