MAMATHA CHEONG (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205647666

MAMATHA CHEONG (APRN) is a healthcare provider. based in Orlando, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11037187 (FL). The NPI Number for MAMATHA CHEONG (APRN) is 1205647666

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MAMATHA CHEONG (APRN)
NPI
1205647666
Phone
(813) 467-6111
Address
4700 Millenia Blvd Ste 500
Enumeration Date
15 January 2025
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132774571
Graduation Year
2024 (2 years ago)
PAC ID
8729506779
Group Practice PAC ID
9739420654
Professional Enrollment ID
I20250514001517
Address ID
FL328396019OR4700XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MAMATHA CHEONG (APRN)

  • 4700 Millenia Blvd Ste 500

    Orlando, FL 328396019

    Phone: (813) 467-6111

    Fax: (813) 467-6013

    Type: Location

  • 9084 NW 23RD PL

    CORAL SPRINGS, FL 330655103

    Phone: (917) 353-2259

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($140).

Total Amount

$195

General + Research + Ownership

Payments

4

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2025-05-14

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
I20250514001517INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32839)

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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: 9739420654View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Clinical PsychologistFL
Clinical PsychologistLA
Nurse PractitionerFL
Nurse PractitionerFL
Clinical PsychologistNJ
Clinical PsychologistPR
Clinical PsychologistPR
Nurse PractitionerCT

Reviews

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Frequently asked questions

How is MAMATHA CHEONG (APRN) identified in CMS data?
CMS-hosted NPPES data lists MAMATHA CHEONG (APRN) with NPI 1205647666.
Is MAMATHA CHEONG (APRN) listed as active for patients and plans?
The listing shows MAMATHA CHEONG (APRN) as active in the NPI system.
What is MAMATHA CHEONG (APRN) best known for clinically?
Directory data describes MAMATHA CHEONG (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MAMATHA CHEONG (APRN)?
MAMATHA CHEONG (APRN)'s geographic hint is Orlando, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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