TATAYANA MALTSEVA (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134502578

TATAYANA MALTSEVA (APRN, PMHNP-BC) is a healthcare provider. based in Lauderdale lakes, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. APRN3027352 (FL). The NPI Number for TATAYANA MALTSEVA (APRN, PMHNP-BC) is 1134502578

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
TATAYANA MALTSEVA (APRN, PMHNP-BC)
NPI
1134502578
Phone
(954) 486-4005
Address
4740 N STATE ROAD 7
Enumeration Date
2 July 2015
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544864005
Graduation Year
2000 (26 years ago)
PAC ID
5395177141
Group Practice PAC ID
4688574643
Professional Enrollment ID
I20191115001226
Address ID
FL330205021HO1957XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TATAYANA MALTSEVA (APRN, PMHNP-BC)

  • 4740 N STATE ROAD 7

    LAUDERDALE LAKES, FL 333195839

    Phone: (954) 486-4005

    Type: Mailing

  • 1957 JACKSON ST

    HOLLYWOOD, FL 330205021

    Phone: (954) 921-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,972.

Total Amount is formed as General ($1,972) + Research ($0) + Ownership ($0) = $1,972.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($460).

Total Amount

$1,972

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,972

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2019-11-15

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
I20191115001226INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5523$0
99212Established patient office or other outpatient visit, 10-19 minutes4423$0
View full utilization report →

Insurance plans in this area (ZIP 33319)

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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: 4688574643View full group profile

Reviews

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Frequently asked questions

What is the registry number for TATAYANA MALTSEVA (APRN, PMHNP-BC)?
The registry entry for TATAYANA MALTSEVA (APRN, PMHNP-BC) shows NPI 1134502578.
Should I treat TATAYANA MALTSEVA (APRN, PMHNP-BC) as an active provider?
Patients and plans typically see TATAYANA MALTSEVA (APRN, PMHNP-BC) as active in the national extract.
What type of care does TATAYANA MALTSEVA (APRN, PMHNP-BC) provide?
TATAYANA MALTSEVA (APRN, PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TATAYANA MALTSEVA (APRN, PMHNP-BC)?
TATAYANA MALTSEVA (APRN, PMHNP-BC) is associated with Lauderdale Lakes, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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