JAQUELINE SILVA MULLER LEITE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205384765
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAQUELINE SILVA MULLER LEITE (APRN)
201 QUEEN PALM CT
ALTAMONTE SPRINGS, FL 327013521
Phone:
Type: Mailing
15811 AMBAUM BLVD SW STE 11015811
BURIEN, WA 981663066
Phone: (206) 242-8211
Type: Location
7680, Universal Boulevard, Florida Center, Orlando, Orange County, Florida, 32819-8902, United States
SUITE 210
ORLANDO, FL 328198900
Phone:
Type: Mailing
2600 WESTHALL LN FL 2
MAITLAND, FL 327517102
Phone: (407) 200-9258
Type: Mailing
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: 2023-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161213001643 | I | Nurse Practitioner | FL | TBD |
| I20221223000393 | I | Nurse Practitioner | WA | TBD |
| I20231110002293 | I | Nurse Practitioner | CA | 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 32701)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| Family Practice, Obstetrics/Gynecology | FL |
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