NARISSA ETWAROO (MD) – Psychiatry Physician, NPI 1790129617

NARISSA ETWAROO (MD) is a healthcare provider. based in Sebring, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME132781 (FL). The NPI Number for NARISSA ETWAROO (MD) is 1790129617

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NARISSA ETWAROO (MD)
NPI
1790129617
Phone
(863) 451-0084
Address
1062 Lake Sebring Dr
Enumeration Date
22 April 2013
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132398069
Graduation Year
2017 (9 years ago)
PAC ID
9335445394
Group Practice PAC ID
2769469204
Professional Enrollment ID
I20180212000815
Address ID
FL336104350TA5707XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for NARISSA ETWAROO (MD)

  • 1062 Lake Sebring Dr

    Sebring, FL 338701426

    Phone: (863) 451-0084

    Fax: (863) 658-4120

    Type: Location

  • 1501 KINGS HWY

    PSYCHIATRY

    SHREVEPORT, LA 711034228

    Phone: (318) 675-6619

    Type: Mailing

  • 3840 5TH AVE N

    SAINT PETERSBURG, FL 337137521

    Phone: (727) 367-2273

    Fax: (727) 800-6929

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($140).

Total Amount

$256

General + Research + Ownership

Payments

5

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180212000815IPsychiatryFLTBD
I20190723002211IPsychiatryWITBD

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 33870)

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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: 2769469204View full group profile
NameSpecialtyState
Psychiatry, Addiction MedicineNY
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Mental Health CounselorFL
P S Y C H I A T R YFL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

Can I cross-check NARISSA ETWAROO (MD) using NPI 1790129617?
NPI 1790129617 belongs to NARISSA ETWAROO (MD); compare other details if you need extra assurance.
Active or inactive — what applies to NARISSA ETWAROO (MD)?
You should see NARISSA ETWAROO (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for NARISSA ETWAROO (MD)?
At a glance, NARISSA ETWAROO (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with NARISSA ETWAROO (MD)?
Directory geography for NARISSA ETWAROO (MD) centers on Sebring, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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