MRS. TASIANA MALYA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396415113

MRS. TASIANA MALYA (PMHNP-BC) is a healthcare provider. based in Osage beach, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 2006036960 (MO). The NPI Number for MRS. TASIANA MALYA (PMHNP-BC) is 1396415113

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TASIANA MALYA (PMHNP-BC)
NPI
1396415113
Phone
(573) 302-0319
Address
840 PASSOVER RD
Enumeration Date
14 September 2021
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733020319
Graduation Year
2021 (5 years ago)
PAC ID
9032574892
Group Practice PAC ID
2062649288
Professional Enrollment ID
I20230501000085
Address ID
MO650652834OS840XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. TASIANA MALYA (PMHNP-BC)

  • 840 PASSOVER RD

    OSAGE BEACH, MO 650652834

    Phone: (573) 302-0319

    Fax: (573) 693-1680

    Type: Mailing

  • 227 Metro Dr

    Jefferson City, MO 651091134

    Phone: (844) 853-8937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($26).

Total Amount

$85

General + Research + Ownership

Payments

4

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

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: 2023-05-01

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
I20230501000085INurse PractitionerMOTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5018$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2312$0
99238Hospital discharge day management, 30 minutes or less1716$0
90792Psychiatric diagnostic evaluation with medical services1515$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 2062649288View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
-ID
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. TASIANA MALYA (PMHNP-BC)?
MRS. TASIANA MALYA (PMHNP-BC) — NPI 1396415113 — is the standard way to identify this listing.
Does the file indicate MRS. TASIANA MALYA (PMHNP-BC) is practicing under active NPI?
Directory data currently reports MRS. TASIANA MALYA (PMHNP-BC) as active.
What is MRS. TASIANA MALYA (PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MRS. TASIANA MALYA (PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. TASIANA MALYA (PMHNP-BC) on a map?
Expect Osage Beach, Missouri as a primary anchor for MRS. TASIANA MALYA (PMHNP-BC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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