Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1598795536
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 Unknown Individual
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 327467107
Phone: (407) 647-2346
Fax: (407) 647-5431
Type: Mailing
134, Arthur Court, Franklin Crossing, West Mahwah, Mahwah, Bergen County, New Jersey, 07430, United States
MAHWAH, NJ 074301393
Phone: (201) 828-5823
Fax: (201) 828-5824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $556.
Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($170).
Total Amount
$556
General + Research + Ownership
Payments
14
Total payment records
General Amount
$556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2023-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20071023000738 | I | Nurse Practitioner | NJ | TBD |
| I20230608001677 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 160 | 132 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 114 | 110 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 18 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 47 | 18 | $0 |
Insurance plans in this area (ZIP 32746)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 1587 | 1338 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CT | |
| - | FL | |
| Clinical Psychologist | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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