JOSHUA HACKENBERG (PA-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316591324
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JOSHUA HACKENBERG (PA-C)
777 N ASHLEY DR UNIT 2007
TAMPA, FL 336024375
Phone: (570) 490-7195
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,004.
Total Amount is formed as General ($1,004) + Research ($0) + Ownership ($0) = $1,004.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($523).
Total Amount
$1,004
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,004
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-11-22
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 |
|---|---|---|---|---|
| I20191122000772 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,308 | 732 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 321 | 320 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 157 | 152 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 123 | 41 | $0 |
Insurance plans in this area (ZIP 33602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | FL | |
| Mental Health Counselor | FL | |
| Clinical Psychologist | MI | |
| Nurse Practitioner | FL | |
| - | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | OH | |
| Physician Assistant | FL | |
| Clinical Psychologist | FL | |
| Nurse Practitioner | FL |
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