JUDITH A TIBERIA (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1811982473

JUDITH A TIBERIA (ARNP) is a healthcare provider. based in Port charlotte, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. APRN2927142 (FL). The NPI Number for JUDITH A TIBERIA (ARNP) is 1811982473

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH A TIBERIA (ARNP)
NPI
1811982473
Phone
(941) 766-9555
Address
3191 HARBOR BLVD STE A
Enumeration Date
20 September 2005
Last Update Date
6 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9418834518
Graduation Year
1990 (36 years ago)
PAC ID
4183647027
Group Practice PAC ID
2860619632
Professional Enrollment ID
I20060106000315
Address ID
FL339526755PO3191XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JUDITH A TIBERIA (ARNP)

  • 3191 HARBOR BLVD STE A

    SUITE A

    PORT CHARLOTTE, FL 339526755

    Phone: (941) 766-9555

    Fax: (941) 766-1511

    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 77 Open Payments records for all available years, with a total value of $1,582.

Total Amount is formed as General ($1,582) + Research ($0) + Ownership ($0) = $1,582.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($207).

Total Amount

$1,582

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2006-01-06

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
I20060106000315INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9853$0
90833Psychotherapy with evaluation and management visit, 30 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Provider's Procedures

JUDITH A TIBERIA (ARNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERFL90833Psychotherapy, 30 minutes with patient and/or family member9656

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: 2860619632View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Clinical Social WorkerIN
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up JUDITH A TIBERIA (ARNP) by NPI?
Use NPI 1811982473 when you need to reference JUDITH A TIBERIA (ARNP) in forms, claims, or directories.
Is JUDITH A TIBERIA (ARNP)'s NPI currently valid?
The extract we use shows JUDITH A TIBERIA (ARNP) as active.
Does JUDITH A TIBERIA (ARNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for JUDITH A TIBERIA (ARNP). Clinical services aligned with this taxonomy classification.
Where is JUDITH A TIBERIA (ARNP)'s primary listing?
We display Port Charlotte, Florida because that is what the record indicates for JUDITH A TIBERIA (ARNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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