GRANTLEY ITTERA (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619223666
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 GRANTLEY ITTERA (APRN)
1800 MERCY DR
SUITE 302
ORLANDO, FL 328085646
Phone: (407) 875-3700
Fax: (407) 522-4671
Type: Mailing
101 E MILLER ST
ORLANDO, FL 328062123
Phone: (407) 246-6620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 237 Open Payments records for all available years, with a total value of $7,080.
Total Amount is formed as General ($7,080) + Research ($0) + Ownership ($0) = $7,080.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,626).
Total Amount
$7,080
General + Research + Ownership
Payments
237
Total payment records
General Amount
$7,080
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,626 |
| Otsuka America Pharmaceutical, Inc. | $921 |
| Janssen Pharmaceuticals, Inc | $893 |
| Neurocrine BioSciences Inc. | $604 |
| ITI, Inc. | $454 |
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: 2025-12-02
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 |
|---|---|---|---|---|
| I20240730001918 | I | Nurse Practitioner | FL | TBD |
| I20251202000395 | I | Nurse Practitioner | MI | 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 32808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL |
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